10A N.C. Admin. Code 22F.0601

Current through Register Vol. 39, No. 12, December 1, 2024

Section 22F .0601 - RECOUPMENT

(a) The ­Division shall seek full restitution of improper payments, as defined by 42 C.F.R. 431.958, which is adopted and incorporated by reference with subsequent changes or amendments and available free of charge at https://www.ecfr.gov/, made to providers by the Medicaid Program. Recovery may be by lump sum payment, by a negotiated payment schedule, or by withholding from the provider's pending claims the total or a portion of the recoupment amount.

(b) A provider may seek reconsideration review of a recoupment imposed by the division under Rule .0402 of this Subchapter.

10A N.C. Admin. Code 22F .0601

Authority G.S. 108A-25(b); 108C-5(g); 42 C.F.R. Part 431, Subpart Q; 42 C.F.R. Part 455, Subpart F; 42 C.F.R. Part 456;
Eff. February 1, 1982;
Amended Eff. May 1, 1984;
Readopted Eff. July 1, 2018.

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.

Readopted by North Carolina Register Volume 33, Issue 03, August 01, 2018 effective 7/1/2018.