Common use of Temporary Suspension Clause in Contracts

Temporary Suspension. DHCS shall temporarily suspend Provider under the following circumstances: (1) Provider fails to disclose all information as required in federal Medicaid regulations or any other information required by DHCS, or discloses false information. Administrative appeal pursuant to Welfare and Institutions Code, § 14043.65. (Welfare and Institutions Code, § 14043.2(a).) (2) Provider is under investigation for fraud or abuse. Administrative appeal pursuant to Welfare and Institutions Code, § 14043.65. (Welfare and Institutions Code, § 14043.36(a).) (3) Provider fails to remediate discrepancies discovered as a result of an unannounced visit to Provider. Administrative appeal pursuant to Welfare and Institutions Code, § 14043.65. (Welfare and Institutions Code, § 14043.7(c).) (4) Prior to a hearing and when the director determines it is necessary to protect the public welfare or the interests of the Medi-Cal program. (Welfare and Institutions Code, §14123(c).) (5) Provider submits claims for payment to the County or DHCS for the services, goods, supplies or merchandise provided, directly or indirectly, to a Medi-Cal beneficiary, by an individual or entity that is suspended, excluded or otherwise ineligible because of sanction to receive, directly or indirectly, reimbursement from the Medi-Cal program and the individual or entity is listed on the Suspended and Ineligible Provider List or any list published by the federal Office of the Inspector General or the Department of Health and Human Services. Appeal pursuant to Welfare and Institutions Code, § 14043.65. (Welfare and Institutions Code, § 14043.61) (6) Provider fails to comply with DHCS’ request to examine or receive copies of the books and records pertaining to services rendered to Medi-Cal beneficiaries. (Welfare and Institutions Code, § 14124.2)

Temporary Suspension. DHCS shall temporarily suspend Provider under the following circumstances: (1) Provider fails to disclose all information as required in federal Medicaid regulations or any other information required by DHCS, or discloses false information. Administrative appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.2(a).) (2) Provider is under investigation for fraud or abuse. Administrative appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.36(a).) (3) Provider fails to remediate discrepancies discovered as a result of an unannounced visit to Provider. Administrative appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.7(c).) (4) Prior to a hearing and when the director determines it is necessary to protect the public welfare or the interests of the Medi-Cal program. (Welfare and Institutions Code, §14123(cSection14123(c).) (5) Provider submits claims for payment to the County or DHCS for the services, goods, supplies or merchandise provided, directly or indirectly, to a Medi-Cal beneficiary, by an individual or entity that is suspended, excluded or otherwise ineligible because of sanction to receive, directly or indirectly, reimbursement from the Medi-Cal program and the individual or entity is listed on the Suspended and Ineligible Provider List or any list published by the federal Office of the Inspector General or the Department of Health and Human Services. Appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.61) (6) Provider fails to comply with DHCS’ request to examine or receive copies of the books and records pertaining to services rendered to Medi-Cal beneficiaries. (Welfare and Institutions Code, § 14124.2)

Temporary Suspension. DHCS shall temporarily suspend Provider under the following circumstances: (1) Provider fails to disclose all information as required in federal Medicaid regulations or any other information required by DHCS, or discloses false information. Administrative appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.2(a).) (2) Provider is under investigation for fraud or abuse. Administrative appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.36(a).) (3) Provider fails to remediate discrepancies discovered as a result of an unannounced visit to Provider. Administrative appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.7(c).) (4) Prior to a hearing and when the director determines it is necessary to protect the public welfare or the interests of the Medi-Cal program. (Welfare and Institutions Code, §Section 14123(c).) (5) Provider submits claims for payment to the County or DHCS for the services, goods, supplies or merchandise provided, directly or indirectly, to a Medi-Cal beneficiary, by an individual or entity that is suspended, excluded or otherwise ineligible because of sanction to receive, directly or indirectly, reimbursement from the Medi-Cal program and the individual or entity is listed on the Suspended and Ineligible Provider List or any list published by the federal Office of the Inspector General or the Department of Health and Human Services. Appeal pursuant to Welfare and Institutions Code, § Section 14043.65. (Welfare and Institutions Code, § Section 14043.61.) (6) Provider fails to comply with DHCS’ request to examine or receive copies of the books and records pertaining to services rendered to Medi-Cal beneficiaries. (Welfare and Institutions Code, § Section 14124.2.)