N.J. Admin. Code § 8:85-4.3

Current through Register Vol. 56, No. 18, September 16, 2024

Section 8:85-4.3 - Final audited rate calculation

(a) The Department will calculate final per diem rates based on audit adjustment reports.

(b) The final per diem rates determined based on (a) above cannot exceed the prospective rates previously paid.

(c) Settlement after final rate calculation will be for fraud and/or abuse collections or recoveries of payments when the final rate is lower than the original rate.

N.J. Admin. Code § 8:85-4.3

Amended by R.1984 d.572, effective 12/16/1984.
See: 16 N.J.R. 2335(a), 16 N.J.R. 3436(b).
Administrative change, recodified from N.J.A.C. 10:63-1.23.
See: 24 N.J.R. 3728(b).
Amended by R.1995 d.174, effective 3/20/1995 (operative April 1, 1995).
See: 27 N.J.R. 281(a), 27 N.J.R. 1307(a).
Recodified from N.J.A.C. 10:63-4.3 and amended by R.2005 d.389, effective 1/17/2006.
See: 36 N.J.R. 4700(a), 37 N.J.R. 1185(a), 38 N.J.R. 674(a).
In (a), substituted "Department" for "Division of Medical Assistance and Health Services"; in (d), changed N.J.A.C. 10:63 reference to N.J.A.C. 8:85.
Amended by R.2011 d.121, effective 4/18/2011.
See:
42 N.J.R. 1793(a), 43 N.J.R. 961(c). Deleted (d) and (e).