ADMINISTRATIVE SANCTIONS FOR VENDORS

Subpart 1. Authority to impose administrative sanction. The commissioner shall impose administrative sanctions or issue a warning letter if the department's investigation under part 9505.2200 determines the presence of fraud, theft, abuse, or error in connection with a program or if the vendor refuses to grant the department access to records as required under part 9505.2185 . Subp. 2. Nature of administrative sanction. The actions specified in items A to C are administrative sanctions that the commissioner may impose for the conduct specified in subpart 1. A. For any vendor, the actions are: (1) suspending or terminating the vendor's participation; (2) suspending or terminating the participation of any person or corporation with whom the vendor has any ownership or control interest; (3) requiring attendance at education sessions provided by the department; (4) requiring prior authorization of services; and (5) lockout of the vendor's participation in a program. B. For a provider, the actions in item A, and in addition: (1) requiring a provider agreement of limited duration; (2) requiring a provider agreement which stipulates specific conditions of participation; and (3) review of the provider's claims before payment. Subp. 3. [Repealed, 33 SR 127]