Notice of Sanction

10006.2 - Notice of Sanction (Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24) Suspension of payment for new Medicare admissions may be imposed anytime an HHA or hospice program is found to be out of substantial compliance, as long as the HHA or hospice program is given written notice at least 2 calendar days before the effective date in IJ situations and at least 15 calendar days before the effective date in non-IJ situations. The notice of suspension of payment for new admissions must include the following: the nature of the non- compliance; the effective date of the sanction/remedy; and the right to appeal the determination leading to the sanction. In addition to notifying the HHA or hospice program of this proposed sanction/remedy, CMS will also notify the State Medicaid Agency, if applicable. For HHAs Only: Please note that the imposition of suspension of payment for new admissions on an HHA would prohibit that HHA from conducting health aide training and competency evaluation program for 2 years from the date this sanction is imposed (see also 42 CFR 484.80(f)). See Appendix B of the State Operations Manual for additional information for eligible home health aide training and competency evaluation organizations at §484.80(f).