MHRS (Mental Health Rehabilitation Services) providers must cooperate with any Department-requested audit or investigation related to service claims, including providing all necessary documentation. Failure to cooperate may result in recoupment of reimbursements and other enforcement actions under applicable policies and the Health Care Agreement.
View official source5305 AUDITS 5305.1 An MHRS provider shall, upon the request of the Department, cooperate in any audit or investigation concerning claims for the provision of these services. Failure to cooperate or to provide the necessary information and documentation shall result in recoupment of the reimbursement and may result in other actions available to the Department pursuant to applicable policies and the HCA. SOURCE: Final Rulemaking published at 61 DCR 3787 (April 11, 2014). District of Columbia Municipal Regulations Mental Health 22-A DCMR § 5305