Md. Code Regs. 10.09.56.23

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.56.23 - Recovery and Reimbursement

Recovery and reimbursement are set forth in COMAR 10.09.36.07B and include, but are not limited to:

A. Providing waiver services without a valid required license or appropriate credentials as required;

B. Employing staff or consultants that do not meet conditions for participation in accordance with Regulation .04 of this chapter to provide services to waiver participants;

C. Lacking adequate documentation of services that were billed to the Program;

D. Submitting claims for services not authorized in the participant's plan of care; and

E. Providing services that are not in accordance with the requirements of this chapter and other applicable regulations and law.

Md. Code Regs. 10.09.56.23