Minnesota Administrative Rules

9505.2210 ADMINISTRATIVE SANCTIONS FOR VENDORS.

Subpart 1.

Authority to impose administrative sanction.

The commissioner shall impose administrative sanctions or issue a warning letter if the department's investigation under part 9505.2200 determines the presence of fraud, theft, abuse, or error in connection with a program or if the vendor refuses to grant the department access to records as required under part 9505.2185.

Subp. 2.

Nature of administrative sanction.

The actions specified in items A to C are administrative sanctions that the commissioner may impose for the conduct specified in subpart 1.

A.

For any vendor, the actions are:

(1)

suspending or terminating the vendor's participation;

(2)

suspending or terminating the participation of any person or corporation with whom the vendor has any ownership or control interest;

(3)

requiring attendance at education sessions provided by the department;

(4)

requiring prior authorization of services; and

(5)

lockout of the vendor's participation in a program.

B.

For a provider, the actions in item A, and in addition:

(1)

requiring a provider agreement of limited duration;

(2)

requiring a provider agreement which stipulates specific conditions of participation; and

(3)

review of the provider's claims before payment.

Subp. 3.

[Repealed, 33 SR 127]

Statutory Authority:

MS s 256B.04; 256D.03

History:

15 SR 2563; 19 SR 1898; 33 SR 127

Published Electronically:

August 12, 2008