53-6-1409. Auditor evaluation hearings — adoption of rules. At least once a year, the department shall conduct auditor evaluation hearings to identify issues, recommend or require corrective actions, and provide for ongoing and future evaluation of auditor performance. With input from providers, including comments gathered at the auditor evaluation hearings, the department shall adopt rules for:

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Terms Used In Montana Code 53-6-1409

  • Auditor: means an individual or an entity, its agents, subcontractors, and employees that have contracted with the department to perform overpayment audits with respect to the medicaid program. See Montana Code 53-6-1401
  • Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-6-1401

(1)appropriate and inappropriate conduct and determinations by auditors; and

(2)penalties and sanctions for inappropriate conduct and determinations.