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Layers searched that had a match: 3 State Medicaid manual (DMAS).
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A-027 Audit response and appeal deadlines
After a review, a written preliminary findings report is sent; the provider has 30 days from receipt to respond (request filed when date-stamped by the MCO/DMAS); a final report follows; if a plan of correction is offered and requested, 30 days from receipt of the final report to submit it. If the provider disagrees with the final findings it may request MCO reconsideration; before appealing an MCO audit to DMAS it must exhaust MCO reconsideration. DMAS appeals must be filed in writing within 30 days of the MCO's final reconsideration decision (or of DMAS's final overpayment letter); a notice is filed when date-stamped by the DMAS Appeals Division; documents received after 5:00 p.m. on the deadline day are untimely.
Ch. VI (rev. 12/28/2023) p. 6; appeal steps in Ch. II (rev. 7/17/2025) pp. 11-13 · rev 12/28/2023 (current on the DMAS manuals page as of 2026-10-04; the 1/5/2022 copy is kept for history) · P