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Section 1369.251. Definitions - Sec. 1369.251. DEFINITIONS. In this subchapter: (1) "Desk audit" means...
Section 1369.252. Exceptions to Applicability of Subchapter - Sec. 1369.252. EXCEPTIONS TO APPLICABILITY OF SUBCHAPTER. This subchapter does...
Section 1369.253. Conflict With Other Laws - Sec. 1369.253. CONFLICT WITH OTHER LAWS. If there is a...
Section 1369.254. Audit of Pharmacist or Pharmacy; Notice; General Provisions - Sec. 1369.254. AUDIT OF PHARMACIST OR PHARMACY; NOTICE; GENERAL PROVISIONS....
Section 1369.255. Completion of Audit - Sec. 1369.255. COMPLETION OF AUDIT. An audit of a claim...
Section 1369.256. Audit Requiring Professional Judgment - Sec. 1369.256. AUDIT REQUIRING PROFESSIONAL JUDGMENT. A health benefit plan...
Section 1369.257. Access to Pharmacy Area - Sec. 1369.257. ACCESS TO PHARMACY AREA. A health benefit plan...
Section 1369.258. Validation Using Certain Records Authorized - Sec. 1369.258. VALIDATION USING CERTAIN RECORDS AUTHORIZED. A pharmacist or...
Section 1369.2581. Audit Discrepancies; Wholesale Invoices - Sec. 1369.2581. AUDIT DISCREPANCIES; WHOLESALE INVOICES. (a) A health benefit...
Section 1369.259. Calculation of Recoupment; Use of Extrapolation Prohibited - Sec. 1369.259. CALCULATION OF RECOUPMENT; USE OF EXTRAPOLATION PROHIBITED. (a)...
Section 1369.260. Clerical or Recordkeeping Error; Fraud Allegation - Sec. 1369.260. CLERICAL OR RECORDKEEPING ERROR; FRAUD ALLEGATION. (a) An...
Section 1369.261. Access to Previous Audit Reports; Uniform Audit Standards - Sec. 1369.261. ACCESS TO PREVIOUS AUDIT REPORTS; UNIFORM AUDIT STANDARDS....
Section 1369.262. Compensation of Auditor - Sec. 1369.262. COMPENSATION OF AUDITOR. An individual performing an on-site...
Section 1369.263. Conclusion of Audit; Summary; Preliminary Audit Report - Sec. 1369.263. CONCLUSION OF AUDIT; SUMMARY; PRELIMINARY AUDIT REPORT. (a)...
Section 1369.264. Final Audit Report - Sec. 1369.264. FINAL AUDIT REPORT. Not later than the 120th...
Section 1369.265. Certain Audits Exempt From Deadlines - Sec. 1369.265. CERTAIN AUDITS EXEMPT FROM DEADLINES. A health benefit...
Section 1369.266. Recoupment and Interest Charged After Audit - Sec. 1369.266. RECOUPMENT AND INTEREST CHARGED AFTER AUDIT. (a) If...
Section 1369.267. Waiver Prohibited - Sec. 1369.267. WAIVER PROHIBITED. The provisions of this subchapter may...
Section 1369.268. Remedies Not Exclusive - Sec. 1369.268. REMEDIES NOT EXCLUSIVE. This subchapter may not be...
Section 1369.269. Enforcement; Rules - Sec. 1369.269. ENFORCEMENT; RULES. The commissioner may enforce this subchapter...
Section 1369.270. Legislative Declaration - Sec. 1369.270. LEGISLATIVE DECLARATION. Except as provided by Section 1369.252,...