048-2 Wyo. Code R. §§ 2-12 - Audits
(a) The Division may audit a provider's
financial records, medical records, or employment records at any time to
determine whether the provider has received excess payments or
overpayments.
(b) The Division may
perform audits through employees, agents, or through a third party. Audits
shall be performed in accordance with generally accepted auditing
standards.
(c) Disallowance. The
Division shall recover excess payments or overpayments for services that were
not approved in the person's service plan.
(d) Reporting audit results. If at anytime
during a financial audit or a medical audit, the Division discovers evidence
suggesting fraud or abuse by a provider, that evidence, in addition to the
Division's final audit report regarding that provider, shall be referred to
appropriate authorities.
(e) The
Division shall share the results of the audit with the provider before excess
payments or overpayments are recovered. However, nothing in this section shall
abrogate the rights of the State to recover excess payments or
overpayments.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.