Medical Leave of Absence: Failure to Readmit

(A) When a medical respite provider is notified that the member is ready to return to the medical respite following a MLOA of up to 15 days, the medical respite provider must readmit the member following a MLOA if the member meets criteria in 130 CMR 458.403. (B) A medical respite that fails to readmit a member who requires medical respite services or otherwise violates these provisions may be subject to overpayment or sanction action under 130 CMR 450.000: Administrative and Billing Regulations.