NDAC 75-09.1-11-03
Program denials and revocations
Cite as N.D. Admin. Code ยง 75-09.1-11-03
1.
A program's application to participate in the voucher system may be denied if:
a.
The program is:
(1)
Not currently licensed under chapter 75-09.1-01;
(2)
Not currently licensed as an out-of-state program located within a bordering state; or
(3)
Currently licensed as an out-of-state program located within a bordering state and
has not received an assessment of need approval from the department;
b.
The program is currently operating under a restricted license pursuant to subsection 2 of
section 75-09.1-01-03 or a similar license restriction for an out-of-state program located
within a bordering state; or
c.
The program's policies submitted to the department in accordance with subsection 3 of
section 75-09.1-11-02 fail to ensure compliance with this chapter.
2.
A program's participation in the voucher system may be revoked for failure to:
a.
Comply with the terms and conditions of the signed agreement between the program and
the department;
b.
Maintain licensing status in accordance with chapter 75-09.1-01 or similar license for an
out-of-state program located within a bordering state;
c.
Comply with or enforce the program's policies submitted as required by subsection 3 of
section 75-09.1-11-02;
d.
Properly document and submit a request for a substance use disorder treatment voucher
as required by section 75-09.1-11-08;
e.
Provide a request for services covered by section 75-09.1-11-06;
f.
Comply with section 75-09.1-11-13; or
g.
Maintain, as an out-of-state program, an assessment of need approval from the
department.
3.
Payment on a voucher may be denied if:
a.
A revocation of the program's participation in the voucher system has occurred prior to
the date the service identified on the voucher was provided;
b.
The program fails to comply with the terms and conditions of the signed agreement
between the program and the department;
c.
The out-of-state program fails to maintain an assessment of need approval from the
department;
d.
The program fails to comply with or enforce the program's policies submitted as required
by subsection 3 of section 75-09.1-11-02;
e.
The program does not have a valid substance abuse treatment program license on the
date the service identified on the voucher was provided;
f.
The program fails to properly document and submit a request for substance use disorder
treatment voucher in accordance with section 75-09.1-11-08;
g.
The program submits a voucher for a service that is not identified as a service provided
under section 75-09.1-11-06;
h.
The program submits a voucher for a service that the program is not approved to
provide; or
i.
The program fails to comply with section 75-09.1-11-13.