Division 120 - PROVIDER RULES
- Section 407-120-0100 - Definitions
- Section 407-120-0110 - Purpose
- Section 407-120-0112 - Scope and Sequence of Electronic Data Transmission Rules
- Section 407-120-0114 - Provider Enrollment Agreement
- Section 407-120-0116 - Web Portal Submitter
- Section 407-120-0118 - Conduct of Direct Data Entry Using Web Portal
- Section 407-120-0120 - Registration Process - EDI Transactions
- Section 407-120-0130 - Trading Partner as EDI Submitter - EDI Transactions
- Section 407-120-0140 - Trading Partner Agents as EDI Submitters - EDI Transactions
- Section 407-120-0150 - Testing - EDI Transactions
- Section 407-120-0160 - Conduct of Transactions - EDI Transactions
- Section 407-120-0165 - Pharmacy Point of Sale Access
- Section 407-120-0170 - Confidentiality and Security
- Section 407-120-0180 - Record Retention and Audit
- Section 407-120-0190 - Material Changes
- Section 407-120-0200 - Department System Administration
- Section 407-120-0300 - Definitions
- Section 407-120-0310 - Provider Requirements
- Section 407-120-0320 - Provider Enrollment
- Section 407-120-0325 - Compliance with Federal and State Statutes
- Section 407-120-0330 - Billing Procedures
- Section 407-120-0340 - Claim and PHP Encounter Submission
- Section 407-120-0350 - Payments and Overpayments
- Section 407-120-0360 - Consequences of Non-Compliance and Provider Sanctions
- Section 407-120-0370 - Requirements for Financial, Clinical, and Other Records
- Section 407-120-0380 - Fraud and Abuse
- Section 407-120-0400 - MMIS Replacement Communication Plan
- Section 407-120-1505 - Provider and Contractor Audits, Appeals, and Post Payment Recoveries