Click below for checklists:
Division of Senior and Disability Services
Office of the Commissioner,
Tribal Health
Documentation Checklists
Update 2/08
This section of the site gives guidelines on what supporting documents a claims reviewer wants to see:
- To understand what service was provided,
- Why the service was needed, and
- How the service qualifies for Medicaid coverage.
If you have been asked to support a claim:
Please gather all documents right away. Providers are encouraged to send in documentation well within the 60 days allowed, leaving plenty of time to call the state if questions arise. The deadline is firm. If you have been asked to support more than one claim, make sure documentation for all claims is complete, then send in all supporting documents at the same time.
Please note: Livanta, the CMS contractor collecting documentation, may request additional information after documents are submitted. The request may come soon, or many weeks later.
Use the links to a division at the left to find examples of what kinds of documents will be requested to support claims.
Disclaimer: While the Department updates this site regularly, CMS issues frequent changes and clarifications, and the Department cannot guarantee site contents are current. The site is also not designed to be exhaustive. Information on or referenced from this site is to help providers better understand the PERM project, not provide legal or other business advice, or protection from liability or responsibility during the PERM process.
Questions? Call ,
Douglas Jones
Program Integrity Manager
DHSS Office of Program Integrity
907-269-0361
or for other contacts, see the "Contacts" link under Provider Resources at right.
Please make sure he has the name, title and phone number of the person who will coordinate the responses to records requests.
Updated: 6/09
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