Minn. R. agency 196, ch. 9505, SURVEILLANCE AND INTEGRITY REVIEW PROGRAM, pt. 9505.2240

Current through Register Vol. 49, No. 20, November 12, 2024

Part 9505.2240 - NOTICE TO THIRD PARTIES

Subpart 1.Notice about vendors.

After the department has taken an action against a vendor as specified in part 9505.2210, subpart 2, item A or B, and the right to appeal has been exhausted or the time to appeal has expired, the department shall issue the notices required in items A to C.

A. The department shall notify the appropriate professional society, board of registration or licensure, and federal or state agencies of the findings made, sanctions imposed, appeals made, and the results of any appeal.

B. The department shall notify the general public about action taken under part 9505.2210, subpart 2, item A, subitem (1), (2), (4), or (5), by publishing the notice in a general circulation newspaper in the geographic area of Minnesota generally served by the vendor in the majority of its health services to Minnesota program recipients. The notice shall include the vendor's name and service type, the action taken by the department, and the effective date or dates of the action.

C. If the vendor requests reinstatement and the department approves the request for reinstatement, the department shall give written notice to the vendor and those notified in items A and B about the action taken under part 9505.2210, subpart 2, item A, subitem (1), (2), (4), or (5), and the reinstatement.

Subp. 2.Information and notice about recipients.

After the department has placed the recipient in the restricted recipient program as specified in parts 9505.2207 and 9505.2238 and the recipient's right to appeal has been exhausted or the time to appeal has expired, the department must notify the recipient's primary care provider and other health care providers that the recipient has been placed in the restricted recipient program and the circumstances leading to the placement. Notice shall include the recipient's name, program, the nature of the placement of the recipient in the restricted recipient program, a list of providers from whom the recipient may receive medical services, and the beginning and ending dates of the placement period. The recipient's placement in the restricted recipient program must be indicated in an eligibility verification system.

Minn. R. agency 196, ch. 9505, SURVEILLANCE AND INTEGRITY REVIEW PROGRAM, pt. 9505.2240

15 SR 2563; 19 SR 1898; 33 SR 127

Statutory Authority: MS s 256B.04; 256D.03