Pennsylvania Code
Title 55 - HUMAN SERVICES
Part I - Department of Human Services
Subpart E - Home and Community-based Services
Chapter 52 - LONG-TERM LIVING HOME AND COMMUNITY-BASED SERVICES
Subchapter D - PROVIDER DISQUALIFICATION
Section 52.62 - Prohibition of services
Universal Citation: 55 PA Code ยง 52.62
Current through Register Vol. 54, No. 12, March 23, 2024
(a) A provider may be sanctioned, prohibited or disenrolled from providing services for failure to perform any of the following:
(1) Protect the health and welfare of a
participant during service delivery.
(2) Comply with applicable Federal or State
laws and this chapter.
(3) Comply
with a provision of the MA provider agreement, including the waiver
addendum.
(4) Deliver a service in
the type, scope, amount, duration and frequency required by the approved
service plan when the participant is available for the delivery of the
service.
(5) Develop or implement a
CAP.
(6) Maintain licenses or
certifications, or both, as required by Federal or State agencies.
(7) Maintain accurate records.
(b) The Department may prohibit a provider from providing new participants with services if the provider violates subsection (a).
(c) A disenrolled provider shall cooperate with the Department, new providers of services and participants with transition planning to ensure participant's continuity of care.
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