048.0037.29.5
Ch. 29, § 5. Client Lock-in
Cite as Medicaid Rules, Ch. 29, § 5
(a) The Department may lock-in a client if:
(i) The Department determines the client has engaged in fraud, theft, or abuse of services pursuant to Chapter 16 of the Medicaid Rules; or
(ii) The Department receives a referral from another Medicaid program which demonstrates that the client has previously engaged in fraud, theft, or abuse of services.
(iii) The client is receiving high-cost services.
(b) If the Department decides to lock-in a client pursuant to this Section, the Department shall comply with the sanction procedures under Chapter 16, Section 10 of the Medicaid Rules.