10A NCAC 22F .0601. RECOUPMENT  


Latest version.
  • (a)  The Medicaid Agency will seek full restitution of any and all improper payments made to providers by the Medicaid Program.  Recovery may be by lump sum payment, by a negotiated payment schedule not to exceed one year or by withholding from the provider's pending claims the total or a portion of the recoupment amount.

    (b)  A provider may argue all or a part of a recoupment imposed by the Medicaid Agency by requesting a Reconsideration Review of the investigative findings and, thereafter, an Executive Decision.

     

History Note:        Authority G.S. 108A‑25(b); 42 C.F.R. Part 431; 42 C.F.R. Part 455; 42 C.F.R. Part 456;

Eff. February 1, 1982;

Amended Eff. May 1, 1984.