Sec. 10.09.33.11. Cause for Suspension or Removal and Imposition of Sanctions

A. Cause for suspension or removal from the Medical Assistance Program and imposition of sanctions shall be as set forth in COMAR 10.09.36.08.

B. If the Department determines that a health home provider has failed to comply with the provisions of this chapter, the Department may initiate one or more of the following actions against the health home provider:

(1) Recovery of overpayment made by the Department;

(2) Withholding of payment by the Department;

(3) Reduction in payment by the Department, including a 10 percent reduction in reimbursement for services that are not billed within the time frame required by Regulation .09B(2) of this chapter;

(4) Suspension from being a health home provider;

(5) Removal from being a health home provider; or

(6) Disqualification from being a health home provider at any future time.