Available Sanctions/Remedies

10004- Available Sanctions/Remedies (Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24) To the greatest extent possible, the time between the identification of deficiencies and imposition of sanctions/remedies should be minimized. In accordance with §488.820 for HHA and §488.1220 for hospice programs, the following sanctions/remedies in addition to termination of the provider agreement are available: • Civil money penalties; • Suspension of payment for all new admissions; • Temporary management; • Directed plan of correction; and • Directed in-service training. It is important to note that imposition of an alternative sanction or enforcement remedy is an available enforcement action, but it is not required when CMS may ultimately determine that termination is the most appropriate enforcement action to ensure patient health and safety. When CMS believes that an agency cannot promptly return to compliance, termination may be preferable.