S.C. Code Regs. § 126-401
Current through Register Vol. 48, No. 5, May 24, 2024
Section 126-401 - SanctionsA. The Administrator of the Title XFX Single State Agency may invoke one (1) or more of the following administrative sanctions against a Medicaid provider who has been determined to have abused the Medicaid Program:(1) Educational Intervention;(2) Postpayment Review of Claims;(3) Prepayment Review of Claims;(4) Referral to Licensing/Certifying Boards or Agencies;B. The Administrator of the Title XFX Single State Agency may invoke one (1) or more of the following administrative sanctions against a Medicaid provider who has been determined to be guilty of fraud or convicted of a crime related to his or her participation in Medicare or Medicaid, or for any reason for which the Secretary of the United States Department of Health and Human Services could exclude an individual or entity under 42 CFR §§ 1001 and 1003. [ 42 CFR § 1002.210 ]: Replaced and amended by State Register Volume 42, Issue No. 05, eff. 5/25/2018.