SUBCHAPTER 22I ‑ TITLE XIX REIMBURSEMENT AND
administrative REVIEW PROCESS
SECTION .0100 ‑ AUDIT REVIEW PROCESS
10A NCAC 22I .0101 AUDIT TO BE CONDUCTED
An audit of a provider may be conducted by the Division of
Medical Assistance, or by an auditing firm subcontracted by them.
History Note: Authority G.S. 108A‑25(b);
Eff. September 24, 1980;
Amended Eff. May 1, 1990;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. August 22, 2015.
10A NCAC 22I .0102 EXIT CONFERENCE
At the conclusion of the audit, the provider may request an
exit conference which shall be held by personnel of the unit conducting the
audit, to discuss the audit findings with the provider.
History Note: Authority G.S. 108A‑25(b);
Eff. September 24, 1980.
10A NCAC 22I .0103 NOTICE OF PROGRAM REIMBURSEMENT
Based on the audit findings the Division of Medical
Assistance will issue to the provider a Notice of Program Reimbursement which
shall state the amount of reimbursement, if any, payable to the Division of
Medical Assistance or payable to the provider.
History Note: Authority G.S. 108A‑25(b);
Eff. September 24, 1980;
Amended Eff. January 1, 1988;
Pursuant to G.S. 150B-21.3A, rule is necessary without
substantive public interest Eff. August 22, 2015.
10A NCAC 22I .0104 RECONSIDERATION REVIEW
Following receipt of the Notice of Program Reimbursement, a
provider may file a request for a reconsideration review with the Division of
Medical Assistance, in accordance with 10A NCAC 22J.
History Note: Authority G.S. 108A‑25(b);
Eff. September 24, 1980;
Amended Eff. January 1, 1988.