TITLE 1: GOVERNMENT
DIVISION 2: EXECUTIVE BRANCH
§ 20207. Required Provider Agreement. The Commonwealth Medicaid Agency shall maintain agreements with on and off-island providers furnishing services under the plan in which the provider agrees to: (a) Keep any record(s) necessary to disclose the extent of service the provider furnishes to and the health status of patients; (b) Furnish to the Commonwealth Medicaid Agency or designee any data and information maintained under subsection (a) of this section and any information regarding payments claimed by the provider for furnishing services under this plan; (c) Provide claims, clinical, and other data (e.g. provider notes, laboratory test results, medical images, and others), and information in a manner, form, and timetable required by the Commonwealth Medicaid Agency; (d) Maintain the confidentiality of patient information for other than Medicaid program purposes; (e) Not discriminate against any individual seeking services under this plan, on the basis of race, sex, religion, color, national origin, or handicap; and (f) Not seek additional payments from patients beyond those allowed under the plan. (g) The Commonwealth Medicaid Agency may withhold or delay payments if a provider does not comply and may further establish penalties through temporary administrative rulemaking or through administrative procedures provided for in 1 CMC § 9104, Commonwealth Code. Source: PL 21-28, § 2 (May 22, 2020). Commission Comment: The Commission numbered this section pursuant to 1 CMC § 3806(a).