048.0037.29.5

Ch. 29, § 5. Client Lock-in

Last amended: 2020Length: 94 wordsOfficial source

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.
048.0037.29.5: Ch. 29, § 5. Client Lock-in | Justis AI