NDAC 75-02-05-04.2

Termination of provider enrollment

Last amended: 2020Year: 2026Length: 124 wordsOfficial source

Cite as N.D. Admin. Code ยง 75-02-05-04.2

The department may terminate the enrollment of a Medicaid or children's health insurance program provider under the following circumstances: 1. The individual is enrolled to provide transportation, but does not possess a current driver's license or has a driver's license that has been suspended or revoked; 2. The enrolled provider fails to revalidate its enrollment per federal requirements and according to the re-enrollment schedule established by the department; 3. The enrolled provider or practitioner does not submit a Medicaid or children's health insurance program claim to the department for twenty-four months or more; 4. There is a loss of contact with the enrolled provider; or 5. As a result of sanction imposed in accordance with section 75-02-05-07 or North Dakota Century Code chapter 50-24.8.