9719 PROGRAM COMPLIANCE MONITORING

9719.1 Program compliance monitoring shall be the District of Columbia's oversight of efforts made by the ADHP to correct cited deficiencies. State monitoring shall be a safeguard against the ADHP provider's further noncompliance.

9719.2 The following entities may serve as the District of Columbia's Monitor:

(a) DHCF; or

(b) A District of Columbia contractor that meets the following requirements:

(1) Is not a designee or current contractor of the monitored provider;

(2) Does not have an immediate family member who is a participant of the provider;

(3) Is not a person who has been terminated for cause by the provider; and

(4) Is not a former contractor who has had a contract canceled, for cause, by the provider.

9719.3 Program compliance monitoring shall be discontinued under the following circumstances:

(a) The provider's Medicaid provider agreement is terminated;

(b) The provider has demonstrated to the satisfaction of the District of Columbia that it substantially complies with the DPoC as described in § 9717; or

(c) The provider has demonstrated to the satisfaction of the District of Columbia that it has substantially implemented the DIST as described in § 9718.

SOURCE: Final Rulemaking published at 63 DCR 1031 (January 29, 2016).