1. A. If the Department determines that a provider, ophthalmologist, optometrist, optician, any agent or employee of the provider, or any person with an ownership interest in the provider has failed to comply with applicable federal or State laws or regulations, the Department may initiate one or more of the following actions against the responsible party:

   1. (1) Suspension from Program;
   2. (2) Withholding of payment by the Program;
   3. (3) Removal from the Program;
   4. (4) Disqualification from future participation in the Program, either as a provider or as a person providing services for which Program payment will be claimed.
2. B. If the Secretary of Health and Human Services suspends or removes a provider from participation in Medicare, the Department will take similar action.
3. C. The Department will give the provider reasonable written notice of its intention to impose sanctions. In the notice, the Department will establish the effective date and the reasons for the proposed action, and advise the provider of the right to appeal.
4. D. A provider who voluntarily withdraws from the Program or is removed or suspended from the Program according to this regulation shall notify recipients that he no longer honors Medical Assistance cards before he renders additional services.

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date: January 1, 1976 (2:29 Md. R. 1740)

Chapter revised September 14, 1977 (4:19 Md. R. 1469)

Regulations .01, .04, and .05 amended as an emergency provision effective January 1, 1993 (20:2 Md. R. 108); amended permanently effective July 1, 1993 (20:12 Md. R. 996)

Regulation .01 amended effective November 29, 1999 (26:24 Md. R. 1858)

Regulation .01A amended effective March 12, 1984 (11:5 Md. R. 463)

Regulation .01B amended effective October 10, 2005 (32:20 Md. R. 1655)

Regulation .01J amended effective January 1, 1983 (9:25 Md. R. 2483)

Regulation .03D, I—K amended effective November 29, 1999 (26:24 Md. R. 1858)

Regulation .03F amended effective October 10, 2005 (32:20 Md. R. 1655)

Regulation .03J amended effective January 6, 1983 (9:26 Md. R. 2572)

Regulation .03K adopted effective January 30, 1984 (11:2 Md. R. 113)

Regulation .04 amended effective November 29, 1999 (26:24 Md. R. 1858)

Regulation .04A and B amended effective January 1, 1983 (9:25 Md. R. 2483)

Regulation .04B amended effective August 27, 2007 (34:17 Md. R. 1508)

Regulation .05 amended effective November 29, 1999 (26:24 Md. R. 1858)

Regulation .05A amended effective August 27, 2007 (34:17 Md. R. 1508)

Regulation .05B amended effective October 10, 2005 (32:20 Md. R. 1655)

Regulation .06 amended effective November 29, 1999 (26:24 Md. R. 1858)

Regulation .06A amended effective April 17, 1981 (8:8 Md. R. 721)

Regulation .06B amended effective October 10, 2005 (32:20 Md. R. 1655)

Regulation .06D adopted effective April 4, 1980 (7:7 Md. R. 708)

Regulation .07 amended effective November 29, 1999 (26:24 Md. R. 1858); October 10, 2005 (32:20 Md. R. 1655); July 4, 2016 (43:13 Md. R. 712)

Regulation .07C amended effective April 17, 1981 (8:8 Md. R. 721)

Regulation .07D amended as an emergency provision effective July 1, 1982 (9:13 Md. R. 1347); adopted permanently effective November 1, 1982 (9:21 Md. R. 2106)

Regulation .07D amended as an emergency provision effective July 1, 1984 (11:13 Md. R. 1170); adopted permanently effective October 29, 1984 (11:21 Md. R. 1813)

Regulation .07D amended as an emergency provision effective October 1, 1986 (13:22 Md. R. 2393); adopted permanently effective February 9, 1987 (14:2 Md. R. 129)

Regulation .07D amended effective August 10, 1987 (14:16 Md. R. 1774); January 2, 1995 (21:26 Md. R. 2186)

Regulation .07E amended effective April 9, 1984 (11:7 Md. R. 625); March 24, 2008 (35:6 Md. R. 698); January 12, 2009 (36:1 Md. R. 21); February 27, 2017 (44:4 Md. R. 253)

Regulation .07H amended as an emergency provision effective January 8, 1979 (6:2 Md. R. 72); emergency status extended until June 1, 1979 (6:12 Md. R. 1045); adopted permanently effective June 1, 1979 (6:11 Md. R. 979)

Regulation .07I amended effective April 4, 2011 (38:7 Md. R. 430)

Regulation .07M amended as an emergency provision effective July 1, 1978 (5:14 Md. R. 1131); adopted permanently effective November 3, 1978 (5:22 Md. R. 1673)

Regulation .07M amended effective January 30, 1984 (11:2 Md. R. 113); September 10, 1984 (11:18 Md. R. 1584)

Regulation .07M amended as an emergency provision effective January 28, 1991 (18:3 Md. R. 301); emergency status expired April 8, 1991 (18:9 Md. R. 1004)

Regulation .07M amended as an emergency provision effective April 9, 1991 (18:9 Md. R. 1005); amended permanently effective October 7, 1991 (18:18 Md. R. 2004)

Regulation .08A amended effective May 12, 1986 (13:9 Md. R. 1029)

Regulation .09A, B amended effective August 17, 1981 (8:16 Md. R. 1365)

Regulation .10 amended effective June 6, 1983 (10:11 Md. R. 974); January 24, 2011 (38:2 Md. R. 84)

Regulation .11 adopted effective October 25, 1982 (9:21 Md. R. 2106)