LAC 50:I.4205. Compliance Review

A. The department or a health oversight agency may conduct a compliance investigation. A compliance review ensures the provider conducts its business in conformity with the Medicaid program’s laws, rules, regulations, and sub-regulatory guidance. B. A compliance review may be initiated as its own matter or as part of an investigation, pre-payment or post-payment review. C. A sanction the department assesses as part of a compliance investigation is appealable and subject to an informal hearing.