State Operations Manual (Pub. 100-07), Ch. 3 § 3032
Termination for Violations of §§1866(a)(1)(E), (F), (G), and (H)
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.