Site Inspections

(A) The MassHealth agency, and its agents and designated contractors may, at any time, conduct announced or unannounced site inspections of any and all provider locations to determine compliance with applicable regulations, which can include auditing activities in accordance with 130 CMR 450.000: Administrative and Billing Regulations. Such site inspections need not pertain to any actual or suspected deficiency in compliance with the regulations. (B) After any site inspection where deficiencies are observed, the MassHealth agency will prepare a written site inspection report. The site inspection report will include the deficiencies found, and the period within which the deficiency must be corrected. The program must submit a corrective action plan, within the timeframe set forth by the MassHealth agency, for each of the deficiencies cited in the report, including the specific corrective steps to be taken, a timetable for these steps, and the date by which full compliance will be achieved. The MassHealth agency will review the corrective action plan and will accept the corrective action plan only if it conforms to these requirements. (C) Nothing in this section shall be construed to prevent MassHealth from applying administrative sanctions, pursuant to 130 CMR 450.000: Administrative and Billing Regulations, for violations of rules or regulations of the MassHealth program identified in connection with a site visit.