HAR §17-1739.2-22. Audit requirements

(a) The department or its fiscal agent shall conduct periodically either on-site or desk audits of cost reports, including financial and statistical records of a sample of participating providers in each provider classification. (b) Reports of the on-site or desk audit findings shall be retained by the department or its fiscal agent for a period of not less than three years following the date of submission of the report. (c) Each provider shall have the right to appeal audit findings in accordance with the procedural requirements of chapter 17-1736, subchapter 3, of the Hawaii Administrative Rules. [Eff 09/01/03 ] (Auth: HRS §346-59; 42 U.S.C. § 1396a) (Imp: 42 C.F.R. §447.252) UNOFFICIAL 1739.2-36 §17-1739.2-23 Bed-hold requirements for long- term care. A Medicaid recipient's bed may be reserved during a recipient's temporary absence from the long- term care facility if: (1) The recipient's plan of care provides for absences other than for hospitalization, and is approved by the recipient's attending physician; (2) Any single episode during which a bed is reserved does not exceed a period of three consecutive days, unless a request for prior approval is submitted to the program, reviewed, and approved by its medical consultant; (3) The total number of days a recipient reserves a bed per calendar year does not exceed twelve days; and (4) A record is maintained in the recipient's medical charts which accounts for the number of days and specific dates for any year that a recipient reserved a bed, subject to periodic review by the department's representatives. [Eff 09/01/03 ] (Auth: HRS §346-59; 42 U.S.C. §1396a) (Imp: 42 C.F.R. §447.252)