Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXIII - Program of All Inclusive Care for the Elderly
Chapter 9 - Sanctions
Section XXIII-903 - Imposition of Sanctions by CMS
Universal Citation: LA Admin Code XXIII-903
Current through Register Vol. 50, No. 9, September 20, 2024
A. CMS may impose the following sanctions for violations specified in §901:
1. suspend enrollment of Medicare
beneficiaries;
2. suspend Medicare
payment to the PACE organization;
3. deny payment to the state for medical
assistance for services furnished under the PACE program agreement. The state
will suspend payments to the PACE organization when payment of the federal
portion of PACE reimbursement is denied;
4. impose civil money penalties as specified
in federal regulations.
B. CMS or the state may determine that the PACE organization is not in substantial compliance with PACE requirements, and may take one or more of the following actions:
1. condition the continuation of the PACE
program agreement upon timely execution of a corrective action plan;
2. withhold some or all payments under the
PACE program agreement until the organization corrects the
deficiency;
3. terminate the PACE
program agreement.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254, Title XIX of the Social Security Act, and 42 CFR 460 et seq.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
