Iowa Code 249A.42 – Overpayment — limitations periods
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1. An administrative action to recover an overpayment to a provider shall be commenced within five years of the date the overpayment was incurred. For the purposes of this subsection, “incurred” means the date the medical assistance claim was paid, or the date any applicable reconciliation was completed, whichever is later.
Terms Used In Iowa Code 249A.42
- Director: means the director of health and human services. See Iowa Code 249A.2
- overpayment: includes such funds for which the provider's administrative and judicial review remedies under Iowa Code 249A.2
- Provider: means an individual, firm, corporation, association, or institution which is providing or has been approved to provide medical assistance to recipients under this chapter. See Iowa Code 249A.2
2. An administrative action to impose a sanction related to an overpayment to a provider shall be commenced within five years of the date the conduct underlying the sanction concluded, or the director discovered such conduct, whichever is later.