12 Va. Admin. Code § 30-50-360

Current through Register Vol. 41, No. 9, December 16, 2024

Section 12VAC30-50-360 - PACE sanctions

A. DMAS shall apply sanctions to providers for violations of PACE contract provisions or federal or state law and regulation.

B. Permissible state sanctions shall include, but need not be limited to, the following:

1. A written warning to the provider;

2. Withholding all or part of the PACE provider's capitation payments, or retracting all or part of any reimbursement previously paid;

3. Suspension of new enrollment in the PACE plan;

4. Restriction of current enrollment in the PACE plan; and

5. Contract termination.

12 Va. Admin. Code § 30-50-360

Derived from Virginia Register Volume 25, Issue 8, eff. February 5, 2009.

Statutory Authority

§ 32.1-325 of the Code of Virginia; 42 USC § 1396.