Subpart B - MEDICAL PROVIDER PARTICIPATION

Section 140.11 - Enrollment Conditions for Medical Providers
Section 140.12 - Participation Requirements for Medical Providers
Section 140.13 - Definitions
Section 140.14 - Denial of Application to Participate in the Medical Assistance Program
Section 140.15 - Suspension and Denial of Payment, Recovery of Money and Penalties
Section 140.16 - Termination, Suspension or Exclusion of a Vendor's Eligibility to Participate in the Medical Assistance Program
Section 140.17 - Suspension of a Vendor's Eligibility to Participate in the Medical Assistance Program
Section 140.18 - Effect of Termination, Suspension, Exclusion or Revocation on Persons Associated with Vendor
Section 140.19 - Application to Participate or for Reinstatement Subsequent to Termination, Suspension, Exclusion or Barring
Section 140.20 - Submittal of Claims
Section 140.21 - Reimbursement for QMB Eligible Medical Assistance Recipients and QMB Eligible Only Recipients and Individuals Who Are Entitled to Medicare Part A or Part B and Are Eligible for Some Form of Medicaid Benefits
Section 140.22 - Magnetic Tape Billings (Repealed)
Section 140.23 - Payment Of Claims
Section 140.24 - Payment Procedures
Section 140.25 - Overpayment or Underpayment of Claims
Section 140.26 - Payment to Factors Prohibited
Section 140.27 - Assignment of Vendor Payments
Section 140.28 - Record Requirements for Medical Providers
Section 140.30 - Audits
Section 140.31 - Emergency Services Audits
Section 140.32 - Prohibition on Participation, and Special Permission for Participation
Section 140.33 - Publication of List of Sanctioned Entities
Section 140.35 - False Reporting and Other Fraudulent Activities
Section 140.40 - Prior Approval for Medical Services or Items
Section 140.41 - Prior Approval in Cases of Emergency
Section 140.42 - Limitation on Prior Approval
Section 140.43 - Post Approval for Items or Services When Prior Approval Cannot Be Obtained
Section 140.44 - Withholding of Payments Due to Fraud or Misrepresentation
Section 140.45 - Withholding of Payments Upon Provider Audit, Quality of Care Review, Credible Allegation of Fraud or Failure to Cooperate
Section 140.55 - Electronic Data Interchange Service
Section 140.71 - Reimbursement for Medical Services Through the Use of a C-13 Invoice Voucher Advance Payment and Expedited Payments
Section 140.72 - Drug Manual (Recodified)
Section 140.73 - Drug Manual Updates (Recodified)
Section 140.74 - Resolution of Claims Related to Inaccurate or Updated Enrollment Information
Section 140.75 - Managed Care - Disputed Provider Claims Resolution Process