Montana Statutes
§ 53-6-1406 — Publication Of Audit Results
Montana·Title 53 SOCIAL SERVICES AND INSTITUTIONS·Ch. 6 HEALTH CARE SERVICES·Part 14 Medicaid Overpayment Audits
53-6-1406 . Publication of audit results. At least once a year the department shall publish and make accessible on its website the following information regarding all medicaid overpayment audits:
(1)the number and type of issues reviewed;
(2)the number of medical and other records requested from providers;
(3)the number of audits conducted by provider type;
(4)the number and aggregate dollar amounts of:
(a)overpayments identified;
(b)overpayments collected; and
(c)underpayments identified;
(5)the duration of audits from initiation to completion;
(6)the number of overpayment determinations and the reversal rates of those determinations at each stage of the informal and formal appeal process;
(7)the number of informal and formal appeals filed by providers, categorized by dispositio
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Legislative History
En. Sec. 6, Ch. 82, L. 2017.
Nearby Sections
15
§ 53-6-1001
Definitions§ 53-6-1003
Eligibility -- Income Determination§ 53-6-1004
State Pharmacy Access Program§ 53-6-1005
Department Administration -- Pharmacy Access§ 53-6-1007
Through 53-6-1009 Reserved§ 53-6-1010
Specifications For Administration Of Program§ 53-6-1011
Appeals§ 53-6-1012
Obligations Of Department§ 53-6-1013
Contracting§ 53-6-1014
Through 53-6-1019 Reserved§ 53-6-102
Repealed§ 53-6-1020
Contingency On Expenditure