Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 461.000 - Community Support Program Services
Section 461.407 - Revocation of Enrollment and Sanctions

Universal Citation: 130 MA Code of Regs 130.461

Current through Register 1531, September 27, 2024

(A) The MassHealth agency has the right to review a CSP's continued compliance with the conditions for enrollment referred to in 130 CMR 461.405 and the reporting requirements in 130 CMR 461.406 upon reasonable notice and at any reasonable time during the CSP's hours of operation. The MassHealth agency has the right to revoke the enrollment, subject to any applicable provisions of 130 CMR 450.000: Administrative and Billing Regulations if such review reveals that the CSP has failed to or ceased to meet such conditions.

(B) If the MassHealth agency determines that there exists good cause for the imposition of a lesser sanction than revocation of enrollment, it may withhold payment, temporarily suspend the CSP from participation in MassHealth, or impose some other lesser sanction as the MassHealth agency sees fit, pursuant to the processes set forth in 130 CMR 450.000: Administrative and Billing Regulations, as applicable.

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