10A NCAC 22F .0403. PROCESS

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When the Utilization Review Section reviews a recipient's chart and determines there was an excessive length of stay, a letter of notification is sent to the provider. The letter of notification includes the reason for the determination and the amount proposed to be recovered by the agency. Upon receipt of such a letter of notification, the provider may request a reconsideration review in accordance with 10A NCAC 22J. If more than one provider's services are being contested for one recipient's excessive length of stay, the reconsideration review will apply to all providers of the service.

History Note: Authority G.S. 108A‑25(b); 42 C.F.R. 456;

Eff. December 1, 1982;

Amended Eff. January 1, 1988; January 1, 1986;

Transferred and Recodified from 10 NCAC 26I .0202 Eff. July 1, 1995.

                    
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