405 Ind. Admin. Code 5-21.7-14

Current through January 8, 2025

Section 405 IAC 5-21.7-14 - Provider sanctions

Authority: IC 12-8-6.5-5; IC 12-15

Affected: IC 12-13-7-3; IC 12-29; IC 25-23.6-10.5; IC 25-27.5-5

Sec. 14.

(a) Under 405 IAC 1-1.4-4, if a provider has violated any provision established under IC 12-15, the OMPP may impose one (1) or more of the following sanctions:

(1) Deny payment.

(2) Revoke authorization as a CMHW services provider.

(3) Assess a fine.

(4) Assess an interest charge.

(5) Require corrective action against an agency or a provider.

(b) The loss of DMHA authorization for a provider to deliver CMHW services may occur due to, but not limited to, the following:

(1) The provider's failure to adhere to and follow CMHW services policies and procedures for behavior, documentation, billing, or service delivery.

(2) The provider's failure to respond to or resolve a corrective action imposed upon the provider by the DMHA or the OMPP for noncompliance with CMHW services' policies and procedures.

(3) The provider's failure to maintain CMHW services provider qualifications, DMHA-required training, or standards contained in this rule for the CMHW service or services the provider is authorized to provide.

(4) The provider's failure to timely reapply for CMHW services provider authorization.

405 IAC 5-21.7-14

Office of the Secretary of Family and Social Services; 405 IAC 5-21.7-14; filed Dec 18, 2013, 11:13 a.m.: 20140115-IR-405130211FRA

Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA

Filed 12/21/2018, 3:17 p.m.: 20190116-IR-405180251FRA

Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA