Support Services for Adults with Developmental ... - DHS home

(J) Failed to comply with the provisions of OAR 411-340-
0130(8) of this rule or OAR 411-340-0140; or
(K) Been suspended or terminated as a provider by another
division within the Department or Oregon Health Authority.
(b) The following sanctions may be imposed on a provider:
(A) The provider may no longer be paid with support services
funds;
(B) The provider may not be allowed to provide services for a
specified length of time or until specified conditions for
reinstatement are met and approved by the brokerage or the
Department, as applicable; or
(C) The brokerage may withhold payments to the provider.
(c) If the brokerage makes a decision to sanction a provider, the
brokerage must notify the provider by mail of the intent to sanction.
(d) The provider may appeal a sanction within 30 days of the date the
sanction notice was mailed to the provider. The provider must appeal
a sanction separately from any appeal of audit findings and
overpayments.
(A) A provider of Medicaid services may appeal a sanction by
requesting an administrative review by the Department's
Administrator.
(B) For an appeal regarding provision of Medicaid services to
be valid, written notice of the appeal must be received by the
Department within 30 days of the date the sanction notice was
mailed to the provider.
(e) At the discretion of the Department, providers who have
previously been terminated or suspended by any Department division
or by the Oregon Health Authority may not be authorized as providers
of Medicaid services.
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