Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 610.000 - MassHealth: Fair Hearing Rules
Section 610.033 - Coercive or Otherwise Improper Conduct
Universal Citation: 130 MA Code of Regs 130.610
Current through Register 1531, September 27, 2024
(A) Definitions.
(1) Coercive conduct means knowingly
compelling an applicant, member, or former member by force, threat,
intimidation, or other abuse of position to take action that is injurious to
his or her best interest and that he or she would not otherwise have
done.
(2) Improper conduct means
reckless and unreasonable abuse of authority that interferes with the
applicant's, member's, or former member's exercise of rights under
MassHealth.
(B) Remedies. When a hearing officer has found coercive or otherwise improper conduct on the part of any MassHealth agency employee directly involved in the applicant's, member's, or former member's case at a fair hearing, the enrollment center director will
(1) assign a different worker; and
(2) initiate appropriate personnel action
including the insertion of a written reprimand and a copy of the written
findings, if any, in the worker's personnel file.
Disclaimer: These regulations may not be the most recent version. Massachusetts 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.
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