048.0037.16.20
Ch. 16, § 20. Immediate suspensions
Cite as Medicaid Rules, Ch. 16, § 20
(a) If a substantial and immediate threat to the health or safety of clients exists, the Department may immediately suspend the certification or enrollment of the provider and take action necessary to protect the health and safety of participants
(b) Notice of the immediate suspension shall be in writing provided to the provider at the time of the suspension.
(c) The provider shall be afforded an opportunity for a hearing within ten (10) business days after the effective date of the immediate suspension.
(i) A request for hearing shall be provided to the Department within two (2) business days after the receipt of notice.
(ii) The Department shall notify the provider that the hearing has been accepted or denied within one (1) business day of receipt of the request.
(iii) Providers shall not be afforded the opportunity to request reconsideration for suspensions under this section.
(iv) All other procedures for immediate suspension hearings shall be as specified by Chapter 4 of the Wyoming Department of Health's Medicaid Rules.
(d) The immediate suspension of the provider shall remain in place until the conclusion of the Administrative Hearing process or the provider submits:
(i) Evidence that the substantial and immediate threat to the health or safety of participants has been abated;
(ii) An approved corrective action or quality improvement plan for each area of non-compliance; and
(iii) Evidence that the corrective action or quality improvement plan for each area of non-compliance has been implemented.
(e) In addition to suspending the provider the Department make take action necessary to protect the health and safety of participants. The action may include:
(i) Removing the person or persons deemed to be at significant risk;
(ii) Making a report of abuse or neglect to the appropriate investigative agency as may be required by law; or
(iii) Other actions deemed necessary to protect the health or safety of participants.