Idaho Admin. Code r. 16.05.07.250

Current through September 2, 2024
Section 16.05.07.250 - PERMISSIVE EXCLUSIONS FROM THE MEDICAID PROGRAM

The Department may exclude any person or entity from the Medicaid program for a period of not less than one (1) year:

01.Endangerment of Health or Safety of a Patient. Where there has been a finding by a governmental agency against such person or entity of endangering the health or safety of a patient, or of patient abuse, neglect, or exploitation.
02.Failure to Disclose or Make Available Records. That has failed or refused to disclose, make available, or provide immediate access to the Department, or any licensing board, any records maintained by the provider or required of the provider to be maintained, which the Department deems relevant to determining the appropriateness of payment.
03.Other Exclusions. For any reason for which the Secretary of Health and Human Services, or their designee, could exclude an individual or entity.

Idaho Admin. Code r. 16.05.07.250

Effective March 17, 2022