1. A. If the Department determines that a provider, any agent or employee of a 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 the Program;
   2. (2) Withholding of payment by the Department;
   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 the 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, 15-105, and 15-129, Annotated Code of Maryland

Effective date: January 1, 1984 (10:25 Md. R. 2268)

Regulation .01B amended effective November 5, 1984 (11:22 Md. R. 1899); May 2, 1988 (15:9 Md. R. 1108); May 29, 1989 (16:10 Md. R. 1109); April 5, 2010 (37:7 Md. R. 570)

Regulation .03 amended effective April 16, 2012 (39:7 Md. R. 491); April 13, 2015 (42:7 Md. R. 568)

Regulation .03D amended effective April 5, 2010 (37:7 Md. R. 570)

Regulation .03H amended effective May 29, 1989 (16:10 Md. R. 1109)

Regulation .03P, .05, .06F, and .07D, F, G amended effective November 5, 1984 (11:22 Md. R. 1899)

Regulation .04 amended effective November 5, 1984 (11:22 Md. R. 1899); May 2, 1988 (15:9 Md. R. 1108); May 29, 1989 (16:10 Md. R. 1109)

Regulation .04B amended effective September 11, 2017 (44:18 Md. R. 866)

Regulation .04B, F amended effective April 5, 2010 (37:7 Md. R. 570)

Regulation .04F amended effective April 16, 2012 (39:7 Md. R. 492)

Regulation .05B amended effective May 2, 1988 (15:9 Md. R. 1108); April 5, 2010 (37:7 Md. R. 570); September 11, 2017 (44:18 Md. R. 866)

Regulation .06 amended effective October 27, 2003 (30:21 Md. R. 1529); April 5, 2010 (37:7 Md. R. 570)

Regulation .07 amended effective April 5, 2010 (37:7 Md. R. 570)

Regulation .07C, E, M amended effective July 4, 2016 (43:13 Md. R. 712)

Regulation .07D amended as an emergency provision effective July 1, 1984 (11:13 Md. R. 1170); emergency status expired October 28, 1984

Regulation .07D amended effective August 12, 1985 (12:16 Md. R. 1606)

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

Regulation .07D amended effective May 2, 1988 (15:9 Md. R. 1108); October 27, 2003 (30:21 Md. R. 1529); April 2, 2012 (39:6 Md. R. 408): February 3, 2014 (41:2 Md. R. 91); June 14, 2021 (48:12 Md. R. 473)

Regulation .07E amended effective April 9, 1984 (11:7 Md. R. 625)

Regulation .07O amended effective September 10, 1984 (11:18 Md. R. 1584)

Regulation .07O 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 .07O 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 .10 amended effective January 24, 2011 (38:2 Md. R. 84)