State Operations Manual (Pub. 100-07), Ch. 3 § 3006.6
Criteria for Review of State Plans for Approval or Disapproval
3006.6 - Criteria for Review of State Plans for Approval or Disapproval
of Alternative Sanctions
(Rev. 1, 05-21-04)
3006.6A - Introduction
(Rev. 1, 05-21-04)
This section implements §1902(i)(1)(B) of the Act and provides guidance to the RO
relative to reviewing for approval or disapproval, State plan amendments for alternative
enforcement sanctions.
3006.6B - Alternative Remedies
(Rev. 1, 05-21-04)
If a State wishes to establish alternative sanctions in addition to the already existing
alternative sanction of denial of payment for new admissions, to be used in situations of
nonimmediate jeopardy, the State plan should describe:
• Timing and notice requirements;
• When the remedy will be applied;
• How the alternative remedy is effective in deterring noncompliance; and
• Factors considered in selecting the remedy.