<?xml version='1.0' encoding='utf-8'?>
<section article="ghg" article_name="Health - General" number="19-14A-02" title_number="19" title_name="Health Care Facilities" subtitle_number="14A" subtitle_name="Third Party Liability Reviews and Audits of Nursing Homes">
  <level label="a">
    <text>A nursing home that receives payment from the Medical Assistance Program shall provide a report of the credit balances of the nursing home to the Department on a quarterly basis.</text>
  </level>
  <level label="b">
    <text>The Department shall conduct a third party liability review of the report of the credit balances provided under subsection (a) of this section.</text>
  </level>
  <level label="c">
    <text>The Department may conduct a third party liability audit of a random sample of the reports of credit balances reviewed under subsection (b) of this section.</text>
  </level>
  <level label="d">
    <level label="1">
      <text>Subject to paragraph (2) of this subsection, the Department may conduct a third party liability audit of a nursing home that is found to be noncompliant as a result of the audit conducted under subsection (c) of this section.</text>
    </level>
    <level label="2">
      <text>In conducting the third party liability audit authorized under paragraph (1) of this subsection, the Department may only review the financial information of the nursing home for the 2-year period immediately prior to the date of the audit period in which the nursing home was found to be noncompliant.</text>
    </level>
  </level>
</section>
