1. A program's application to participate in the voucher system may be denied if: a. The program is: (1) Not currently licensed under chapter 75-09.1-01; (2) Not currently licensed as an out-of-state program located within a bordering state; or (3) Currently licensed as an out-of-state program located within a bordering state and has not received an assessment of need approval from the department; b. The program is currently operating under a restricted license pursuant to subsection 2 of section 75-09.1-01-03 or a similar license restriction for an out-of-state program located within a bordering state; or c. The program's policies submitted to the department in accordance with subsection 3 of section 75-09.1-11-02 fail to ensure compliance with this chapter.

2. A program's participation in the voucher system may be revoked for failure to: a. Comply with the terms and conditions of the signed agreement between the program and the department; b. Maintain licensing status in accordance with chapter 75-09.1-01 or similar license for an out-of-state program located within a bordering state; c. Comply with or enforce the program's policies submitted as required by subsection 3 of section 75-09.1-11-02; d. Properly document and submit a request for a substance use disorder treatment voucher as required by section 75-09.1-11-08; e. Provide a request for services covered by section 75-09.1-11-06; f. Comply with section 75-09.1-11-13; or g. Maintain, as an out-of-state program, an assessment of need approval from the department.

3. Payment on a voucher may be denied if: a. A revocation of the program's participation in the voucher system has occurred prior to the date the service identified on the voucher was provided; b. The program fails to comply with the terms and conditions of the signed agreement between the program and the department; c. The out-of-state program fails to maintain an assessment of need approval from the department;

d. The program fails to comply with or enforce the program's policies submitted as required by subsection 3 of section 75-09.1-11-02;

e. The program does not have a valid substance abuse treatment program license on the date the service identified on the voucher was provided;

f. The program fails to properly document and submit a request for substance use disorder treatment voucher in accordance with section 75-09.1-11-08;

g. The program submits a voucher for a service that is not identified as a service provided under section 75-09.1-11-06;

h. The program submits a voucher for a service that the program is not approved to provide; or

i. The program fails to comply with section 75-09.1-11-13.

History: Effective July 1, 2016; amended effective July 1, 2022.

General Authority: NDCC 50-06-16

Law Implemented: NDCC 50-06-42