Section 434.8 Records Maintenance and Availability for Audit

Section 434

Section 434.8  Records

Maintenance and Availability for Audit

All records specified in the

Department's rules on Service Delivery (89 Ill. Adm. Code 300-313), Fiscal

Administration (89 Ill. Adm. Code 351-362), and Licensing Standards (89 Ill.

Adm. Code 377-410, as appropriate for the facility type), and any documents that

support financial transactions or billing statements, or that should be

included in a case or personnel file must be or maintained by the provider for

a period of five years.  Department requests for review of records shall be

subject to the following guidelines:

a)         entities shall be issued a written request to provide required

records by properly authorized Department staff or designees at the commencement

of desk review, limited review, preliminary review, limited scope audit, full

scope audit or receipt of a questionable business paper;

b)         if the records (requested in writing) are not provided within

15 business days after the date of the request, the Department's Director or

authorized designee shall issue a subpoena for the requested records;

c)         continued failure to provide the requested records shall, with

the Director's approval, result in termination of the Department's contract

with the entity and forfeiture or withholding of payment.