Section 29-4710. APPEALS - GENERAL

 

4710.1CFSA shall have sixty days from the date of the NR to submit a written request for administrative review of the NR. The request for administrative review of the NR shall be submitted to the Chief, Office of Program Integrity, Utilization Review and Control Section, Medical Assistance Administration, Department of Health.

 

4710.2The written request for administrative review shall include a description of the item to be reviewed, the reason for review of the item, the relief requested, and any documentation in support of the relief requested.

 

4710.3MAA shall mail a written determination relative to the administrative review not later than one hundred and twenty (120) days from the date of the written request for administrative review under 4710.1.

 

4710.4Within forty five (45) days of receipt of the MAA's written determination, CFSA may appeal the written determination by filing a written notice of appeal with the Board of Appeals and Review, 441 4th Street, N.W., Suite 540, Washington, DC 20001.

 

4710.5Filing an appeal shall not stay any action to recover any overpayment.

 

source

Emergency Rulemaking published at 47 DCR 5257 (June 23, 2000) [EXPIRED]; as amended by Final Rulemaking published at 47 DCR 7084 (September 1, 2000).