Rule 16.05.07 - THE INVESTIGATION AND ENFORCEMENT OF FRAUD, ABUSE, AND MISCONDUCT
- Section 16.05.07.000 - LEGAL AUTHORITY
- Section 16.05.07.001 - SCOPE
- Section 16.05.07.002 - WRITTEN INTERPRETATIONS
- Section 16.05.07.003 - ADMINISTRATIVE APPEALS
- Section 16.05.07.004. - 009 - RESERVED
- Section 16.05.07.010 - DEFINITIONS
- Section 16.05.07.011. - 019 - RESERVED
- Section 16.05.07.020 - DEPARTMENT ACTIONS
- Section 16.05.07.021. - 099 - RESERVED
- Section 16.05.07.100 - INVESTIGATION AND AUDITS
- Section 16.05.07.101 - DOCUMENTATION OF SERVICES AND ACCESS TO RECORDS
- Section 16.05.07.102. - 199 - RESERVED
- Section 16.05.07.200 - DENIAL OF PAYMENT
- Section 16.05.07.201. - 204 - RESERVED
- Section 16.05.07.205 - RECOUPMENT
- Section 16.05.07.206. - 209 - RESERVED
- Section 16.05.07.210 - SUSPENSION OF PAYMENTS PENDING INVESTIGATION
- Section 16.05.07.211. - 219 - RESERVED
- Section 16.05.07.220 - PROVIDER AGREEMENT SUSPENSION
- Section 16.05.07.221. - 229 - RESERVED
- Section 16.05.07.230 - TERMINATION OF PROVIDER STATUS
- Section 16.05.07.231. - 234 - RESERVED
- Section 16.05.07.235 - CIVIL MONETARY PENALTIES
- Section 16.05.07.236 - CIVIL MONETARY PENALTY PERCENTAGES
- Section 16.05.07.237 - CIVIL MONETARY PENALTIES FOR CRIMINAL HISTORY BACKGROUND CHECK VIOLATIONS
- Section 16.05.07.238. - 239 - RESERVED
- Section 16.05.07.240 - MANDATORY EXCLUSIONS FROM THE MEDICAID PROGRAM
- Section 16.05.07.241. - 244 - RESERVED
- Section 16.05.07.245 - TERMS OF MANDATORY EXCLUSIONS FROM THE MEDICAID PROGRAM
- Section 16.05.07.246. - 249 - RESERVED
- Section 16.05.07.250 - PERMISSIVE EXCLUSIONS FROM THE MEDICAID PROGRAM
- Section 16.05.07.251. - 259 - RESERVED
- Section 16.05.07.260 - AGGRAVATING FACTORS
- Section 16.05.07.261 - REINSTATEMENT AFTER EXCLUSION FROM MEDICAID PROGRAM
- Section 16.05.07.262. - 264 - RESERVED
- Section 16.05.07.265 - REFUSAL TO ENTER INTO AN AGREEMENT
- Section 16.05.07.266. - 269 - RESERVED
- Section 16.05.07.270 - MISCELLANEOUS CORRECTIVE ACTIONS
- Section 16.05.07.271. - 274 - RESERVED
- Section 16.05.07.275 - DISCLOSURE OF CERTAIN PERSONS
- Section 16.05.07.276. - 279 - RESERVED
- Section 16.05.07.280 - PROVIDER NOTIFICATION
- Section 16.05.07.281. - 284 - RESERVED
- Section 16.05.07.285 - NOTICE TO STATE LICENSING AUTHORITIES
- Section 16.05.07.286. - 289 - RESERVED
- Section 16.05.07.290 - PUBLIC NOTICE
- Section 16.05.07.291. - 299 - RESERVED
- Section 16.05.07.300 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
- Section 16.05.07.301. - 999 - RESERVED