Utah Code 63A-13-305. Audit and investigation procedures
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(1)
Terms Used In Utah Code 63A-13-305
- Office: means the Office of Inspector General of Medicaid Services, created in Section 63A-13-201. See Utah Code 63A-13-102
- Oversight: Committee review of the activities of a Federal agency or program.
(1)(a) The office shall, in accordance with Section 63A-13-602 , adopt administrative rules in consultation with providers and health care professionals subject to audit and investigation under this chapter to establish procedures for audits and investigations that are fair and consistent with the duties of the office under this chapter.
(1)(b) If the providers and health care professionals do not agree with the rules proposed or adopted by the office under Subsection (1)(a) or Section 63A-13-602 , the providers or health care professionals may:
(1)(b)(i) request a hearing for the proposed administrative rule or seek any other remedies under the provisions of Title 63G, Chapter 3, Utah Administrative Rulemaking Act; and
(1)(b)(ii) request a review of the rule by the Legislature’s Rules Review and General Oversight Committee created in Section 36-35-102 .
(2) The office shall notify and educate providers and health care professionals subject to audit and investigation under this chapter of the providers’ and health care professionals’ responsibilities and rights under the administrative rules adopted by the office under the provisions of this section and Section 63A-13-602 .