R.C.S.A. § 17b-192-11
Documentation (Repealed)
Cite as Conn. Agencies Regs. § 17b-192-11
(a) Providers shall maintain a specific record for each client eligible for Medical Assistance
Program payment including, but not limited to: name; address; birth date; Medical
Assistance Program identification number; pertinent diagnostic information; current
and all prior treatment plans prepared by the provider; pertinent treatment notes
signed by the provider; documentation of the dates of service; and other requirements
as provided by federal and state statutes and regulations pursuant to 42 CFR 482.61
and, to the extent such requirements apply to a provider's licensure category, record
requirements set forth in chapter iv of the Connecticut Public Health Code (sections
19-13-D1 to 19-13-D105, inclusive, of the Regulations of Connecticut State Agencies)
and sections 19A-14-40 to 19A-14-51, inclusive, of the regulations of Connecticut
State Agencies. Such records and information shall be made available to the department
upon request.
(b) Providers shall maintain all required documentation for at least five years or longer
as required by state or federal law or regulation in the provider's file subject to
review by authorized department personnel. In the event of a dispute concerning goods
or services provided, documentation shall be maintained until the end of the dispute,
for five years, or the length of time required by state or federal law or regulation,
whichever is greatest. Failure to maintain and provide all required documentation
to the department upon request shall result in the disallowance and recovery by the
department of any future or past payments made to the provider for which the required
documentation is not maintained and not provided to the department upon request, as
permitted by state and federal law.
(c) Providers shall maintain documentation as specified in regulations adopted by the
department specific to their type and specialty.