Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.05.07 - THE INVESTIGATION AND ENFORCEMENT OF FRAUD, ABUSE, AND MISCONDUCT
Section 16.05.07.260 - AGGRAVATING FACTORS
Current through August 31, 2023
For purposes of lengthening the period of mandatory exclusions and permissive exclusions from the Medicaid program, the following factors may be considered. This is not intended to be an exhaustive list of factors which may be considered: (3-17-22)
01. Financial Loss. The acts resulted in financial loss to the program of one thousand five hundred dollars ($1,500) or more. The entire amount of financial loss to such program will be considered, including any amounts resulting from similar acts not adjudicated, regardless of whether full or partial restitution has been made to the program. (3-17-22)
02. Time Acts Were Committed. The acts were committed over a period of one (1) year or more. (3-17-22)
03. Adverse Impact. The acts had a significant adverse physical, mental, or financial impact on one (1) or more program participants or other individuals. (3-17-22)
04. Length of Sentence. The length of any sentence imposed by the court related to the same act. (3-17-22)
05. Prior Record. The excluded person has a prior criminal, civil, or administrative sanction record. (3-17-22)
