State Operations Manual (Pub. 100-07), Ch. 3 § 3032

Termination for Violations of §§1866(a)(1)(E), (F), (G), and (H)

Last amended: 2004Year: 2004Length: 148 wordsOfficial source
3032 - Termination for Violations of §§1866(a)(1)(E), (F), (G), and (H) (Rev. 1, 05-21-04) Under the provisions of §§1866(a)(1)(E), (F), (G), and (H) of the Act, the Secretary may terminate an agreement with a provider of services if it is determined that the provider: • Failed to release data upon request to an organization having a QIO contract with the Secretary under Part B of title XI; • Failed to maintain an agreement with the organization having a QIO contract with the Secretary under Part B of title XI; • Has charged an individual for inpatient hospital services for which the individual was entitled to have payment made under Part A, pursuant to §§1886(b) and (d); or • Failed to furnish all services (except for physician services as defined in §§1862(a)(14) and 1861(w)(1) of the Act) and items for which payment is made under §1866(a)(1)(G) of the Act.
State Operations Manual (Pub. 100-07), Ch. 3 § 3032: Termination for Violations of §§1866(a)(1)(E), (F), (G), and (H) | Justis AI