Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 371 - MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY
Subchapter G - ADMINISTRATIVE ACTIONS AND SANCTIONS
Division 2 - GROUNDS FOR ENFORCEMENT
Section 371.1661 - Convictions and Prohibited Acts

Current through Reg. 49, No. 38; September 20, 2024

A person is subject to administrative actions or sanctions if the person is convicted of or engages in an act that constitutes under state or federal law:

(1) a criminal offense related to performance of a provider agreement or program violation of Medicare, the Medicaid program, other HHS program, or any other state's Medicaid program;

(2) a criminal offense relating to dangerous drugs, controlled substances, or any other drug-related offense, including the unlawful manufacture, distribution, prescription, dispensing, or possession of a controlled substance;

(3) a criminal offense involving moral turpitude;

(4) a criminal offense relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct relating to the delivery of a health care item or service;

(5) a criminal offense relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct relating to any act or omission in a program operated or financed, in whole or in part, by any federal, state, or local government agency;

(6) a criminal offense related to the delivery of an item or service under Medicare, the Medicaid program, other HHS program, or any other state's Medicaid program, including the performance of management or administrative services relating to the delivery of items or services under any such program;

(7) a criminal offense related to the neglect or abuse of a patient, in connection with the delivery of a health care item or service, including any offense that the OIG concludes entailed, or resulted in, neglect or abuse of patients; or

(8) a criminal offense related to the interference with or obstruction of any audit or investigation into an alleged criminal offense.

Disclaimer: These regulations may not be the most recent version. Texas 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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