New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 515 - Provider Sanctions
Section 515.4 - Guidelines for sanctions

Universal Citation: 18 NY Comp Codes Rules and Regs § 515.4

Current through Register Vol. 46, No. 12, March 20, 2024

(a) A sanction may be imposed at the discretion of the department upon a determination that a person has engaged in one or more unacceptable practices.

(b) In determining the sanction to be imposed, the following factors will be considered:

(1) the number and nature of the program violations or other related offenses;

(2) the nature and extent of any adverse impact the violations have had on recipients;

(3) the amount of damages to the program;

(4) mitigating circumstances;

(5) other facts related to the nature and seriousness of the violations; and

(6) the previous record of the person under the Medicare, Medicaid and social services programs.

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