N.D. Admin. Code 75-09.1-11-03

Current through Supplement No. 395, January, 2025
Section 75-09.1-11-03 - Program denials and revocations
1. A program's application to participate in the voucher system may be denied if:
a. The program is:
(1) Not currently licensed under chapter 75-09.1-01;
(2) Not currently licensed as an out-of-state program located within a bordering state; or
(3) Currently licensed as an out-of-state program located within a bordering state and has not received an assessment of need approval from the department;
b. The program is currently operating under a restricted license pursuant to subsection 2 of section 75-09.1-01-03 or a similar license restriction for an out-of-state program located within a bordering state; or
c. The program's policies submitted to the department in accordance with subsection 3 of section 75-09.1-11-02 fail to ensure compliance with this chapter.
2. A program's participation in the voucher system may be revoked for failure to:
a. Comply with the terms and conditions of the signed agreement between the program and the department;
b. Maintain licensing status in accordance with 75-09.1-01 or similar license for an out-of-state program located within a bordering state;
c. Comply with or enforce the program's policies submitted as required by subsection 3 of section 75-09.1-11-02;
d. Properly document and submit a request for a substance use disorder treatment voucher as required by section 75-09.1-11-08;
e. Provide a request for services covered by section 75-09.1-11-06;
f. Comply with section 75-09.1-11-13; or
g. Maintain, as an out-of-state program, an assessment of need approval from the department.
3. Payment on a voucher may be denied if:
a. A revocation of the program's participation in the voucher system has occurred prior to the date the service identified on the voucher was provided;
b. The program fails to comply with the terms and conditions of the signed agreement between the program and the department;
c. The out-of-state program fails to maintain an assessment of need approval from the department;
d. The program fails to comply with or enforce the program's policies submitted as required by subsection 3 of section 75-09.1-11-02;
e. The program does not have a valid substance abuse treatment program license on the date the service identified on the voucher was provided;
f. The program fails to properly document and submit a request for substance use disorder treatment voucher in accordance with section 75-09.1-11-08;
g. The program submits a voucher for a service that is not identified as a service provided under section 75-09.1-11-06;
h. The program submits a voucher for a service that the program is not approved to provide; or
i. The program fails to comply with section 75-09.1-11-13.

N.D. Admin Code 75-09.1-11-03

Adopted by Administrative Rules Supplement 2016-361, July 2016, effective 7/1/2016.
Amended by Administrative Rules Supplement 2022-385, July 2022, effective 7/1/2022.

General Authority: NDCC 50-06-16

Law Implemented: NDCC 50-06-42