C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-50, subsec. 144-101-III-50-1080

Current through 2024-44, October 30, 2024
Subsection 144-101-III-50-1080 - LIMITATIONS ON REOPENING AUDITS

No final audit shall be reopened, nor shall any hearing be allowed concerning any matter contained in any final audit, after three (3) years following the date of the final audit settlement. This limitation does not apply in the event of fraud or misrepresentation, or reviews by Program Integrity for medical necessity or non-covered services.

C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-50, subsec. 144-101-III-50-1080