048.0037.53.6
Ch. 53, § 6. Payment
Cite as Medicaid Rules, Ch. 53, § 6
(a) Incentive payments are subject to the availability of funds and may be adjusted or discontinued by the Department at any time.
(b) Upon completion of a transition period, incentive payments will cease.
(c) To receive Program incentive payments, providers and case managers must complete and document milestones achieved during the transition period each month in accordance with the Program manuals and bulletins.
(d) A provider, case manager, or client may appeal the denial of a payment to the Director. The appeal must be submitted in writing within ten days of the denial.
(e) The Department may remove any participant, provider, or case manager from the Program without cause by providing 30 days prior written notice. The Department may immediately remove any participant, provider, or case manager with cause by providing written notice and a statement of cause.