Provider Reminder - Documentation/Retention Requirements
WV Medicaid Providers:
WV was recently informed of its error rate for CMS’ 2010 Payment Error Rate Measurement (PERM). Most of WV Medicaid payment errors were due to lack of proper documentation or non-response to requests for documentation. BMS reminds providers that they are required by WV Medicaid policy to retain all documentation supporting medical necessity for a period of not less than 5 years from date of service. For detailed provider requirements regarding record documentation and retention please see Chapter 320.05 of the WV Medicaid Manual.
Failure to properly document or submit documentation when requested for audit purposes in a timely manner may result in a pay hold being placed on your provider record and/or monies being recovered for insufficient documentation. Thank you to all providers who were selected by CMS to participate and supplied documentation within proper time lines.