§ 12-15-22-1 — Sanctions for violations

Indiana § 12-15-22-1

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 22: Provider Sanctions

Text

If after investigation the office determines that
a provider has violated a Medicaid statute or rule adopted under a
Medicaid statute, the office may impose at least one (1) of the
following sanctions:
(1) Denial of payment to the provider for Medicaid services
provided during a specified time.
(2) Rejection of a prospective provider's application for
participation in the Medicaid program.
(3) Termination of a provider agreement permitting a provider's
participation in the Medicaid program.
(4) Assessment of a civil penalty against the provider in an
amount not to exceed three (3) times the amount paid to the
provider in excess of the amount that was legally due.
(5) Assessment of an interest charge, at a rate not to exceed the
rate established by IC 24-4.6-1-101(2) for judgments on money,
on the amount paid to the provider in excess of the amount that
was legally due. The interest charge accrues from the date of the
overpayment to the provider.
(6) Exclusion from the Medicaid program for a period of time
consistent with 42 U.S.C. 1320a-7 et seq.
[Pre-1992 Revision Citation: 12-1-7-15.3(a).]

Legislative History

As added by P.L.2-1992, SEC.9. Amended by P.L.195-2018, SEC.6.