Section 52.23. Corrective action plan

(a) The provider shall respond to the written statement of findings under § 52.22 (relating to provider monitoring) with a CAP when requested by the Department.

(b) The provider shall submit a CAP to the Department on a form prescribed by the Department.

(c) The CAP must contain at least the following:

(1) The provider’s name.

(2) The provider’s address.

(3) The provider’s MA identification number.

(4) The action steps to address a specific finding.

(5) The dates action steps will be completed.

(6) An explanation on how the action steps will remediate the finding.

(7) The date when a finding will be remediated.

(8) The provider’s signature indicating the provider will implement the CAP.

(d) The Department will review and monitor a provider-drafted CAP to ensure each finding is corrected.

(e) The Department may reject a provider-drafted CAP and request the provider to revise the CAP so the CAP is in compliance with this section.

(f) The Department may develop a CAP for a provider to implement in response to the statement of findings.

(g) The provider shall implement a Department-approved CAP.

(h) The Department may conduct a follow-up monitoring to ensure the provider is implementing the CAP.