Section 12-15-13.5-3 - Audit period A recovery audit under this chapter must include the following:
(1) Subject to subdivision (2), for audits initiated after June 30, 2019, the audit look back period must be three (3) years and one hundred-eighty (180) days.(2) If the office or a managed care organization discovers information that may indicate a credible allegation of fraud, abusive billing practices, or a claims process error rate greater than thirty percent (30%), the office or the managed care organization may increase the audit look back period to a total of seven (7) years.Added by P.L. 134-2019,SEC. 2, eff. 7/1/2019.