OAR 409-036-0140: Program Integrity

(1) The Authority shall analyze and monitor the operation of the Program and audit and verify the accuracy and appropriateness of all payments made under the terms of this Program. (2) Eligible providers participating in the Program, under contract with the Authority and receiving payments from the Authority are subject to audit or other post-payment review procedures for all applicable payments. (3) Eligible providers participating in the Program must develop and maintain adequate financial and other documentation as determined by the Authority and in compliance with the eligible provider’s contract with the Authority. This includes records: (a) Of all activities associated with the funds received under the contract; (b) Of all prerequisites to disbursement of funds under the contract; (c) Reflecting that the eligible provider participating in the Program maintains employment at a Qualified Practice Site; (4) The Authority may communicate with and coordinate any program integrity actions with the federal and state oversight authorities. (5) Any overpayment made to an individual or Carrier is subject to recovery. The Authority must take appropriate action and may redress payment errors or false claims for payment under the Program.