N.C. Gen. Stat. § 108C-5.1

Current through Session Law 2024-53
Section 108C-5.1 - Post-payment review and recovery audit contracts

The Department shall not pay contingent fees pursuant to any contract with an entity conducting Medicaid post-payment reviews or Recovery Audit Contractor (RAC) audits before all appeal rights have been exhausted. Any contingent fee for Medicaid post-payment reviews or RAC audits shall be calculated as a percentage of the amount of the final overpayment, as defined in G.S. 108C-2(5). The State share of the contingent fee paid for Medicaid post-payment reviews or RAC audits shall not exceed the State share of the amount actually recovered by the Department and applied to the final overpayment.

N.C. Gen. Stat. § 108C-5.1

Added by 2013 N.C. Sess. Laws 360,s. 12H.16-b, eff. 7/1/2013.