048.0037.16.24

Ch. 16, § 24. Effect of Fraud, Waste, or Abuse of Services of Medicare

Last amended: 2020Length: 116 wordsOfficial source

Cite as Medicaid Rules, Ch. 16, § 24

(a) The Department shall suspend or terminate any provider who has been suspended or terminated from participation in Medicare, or any provider which voluntarily withdraws from Medicare when Medicare certification is a prerequisite to enrollment in Medicaid. (b) The duration of the provider's suspension, termination, or withdrawal from participation in Medicaid shall be the same as and shall run contemporaneously with the provider's suspension, termination, or withdrawal from participation in Medicare. (c) A provider suspended or terminated from participation in Medicaid pursuant to this section shall not be entitled to reconsideration or an administrative hearing pursuant to this rule or any other rules of the Department. The provider's remedies are limited to those provided by Medicare.
048.0037.16.24: Ch. 16, § 24. Effect of Fraud, Waste, or Abuse of Services of Medicare | Justis AI