Ala. Admin. Code r. 560-X-56-.17

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-56-.17 - Appeals

(1) Facility administrators who disagree with the findings of the Medicaid desk audits or field audits may request, in writing, an informal conference at which they may present their positions. Such written requests must be received by Medicaid within thirty (30) days of the date on which Medicaid mails the audit report, or new encounter rate, as the case may be, to the provider.

(2) Administrators who believe that the results of the informal conference are adverse to their facility may ask, in writing, for a Fair Hearing, which will be conducted in accordance with Medicaid Regulations. Such written requests must be received by Medicaid within fifteen (15) days of the date on which Medicaid mails to the provider its determination on the issues presented at the informal conference.

Author:

Ala. Admin. Code r. 560-X-56-.17

Rule effective April 15, 1993.

Statutory Authority: State Plan; Title XIX, Social Security Act, 42 C.F.R. §405.2401 - .2429.