Section 52.64. Payment sanctions  


Latest version.
  • (a) If the provider fails to submit an acceptable attestation engagement or pass a financial review, in accordance with this chapter, the Department may initiate sanctions against the provider including the following:

    (1) Disallowing all or a portion of a payment.

    (2) Suspending a current or future payment pending compliance.

    (3) Recouping a payment for a service the provider cannot verify as being provided in the amount, duration and frequency billed.

    (b) If a provider does not comply with this chapter or other State or Federal requirements, the Department may initiate the sanctions under subsection (a).