Types of Sanctions. DHS may impose the civil monetary penalties for the violations described above, as well as one or more of the following: a. Appointment of temporary management for Contractor. b. Notifying the affected participants of their right to disenroll. The Contractor shall provide assistance to any participant electing to terminate his or her enrollment, by making appropriate referrals and providing the individual’s participant record to new providers and/or a participant’s new ICA, FEA, or MCO. DHS shall ensure that a participant who is disenrolled receives appropriate choice counseling and is permitted to enroll in a new ICA, FEA, or MCO of the participant’s choosing. c. Suspension of all new enrollments after the effective date of the sanction. The suspension period may be for any length of time specified by the Department, or may be indefinite. d. Suspension of monthly rate of service (MROS) payments for participants enrolled after the effective date of the sanction and until CMS or DHS is satisfied that the reason for imposition of the sanction no longer exists and is not likely to recur. e. Imposition of a plan of correction and/or intensive oversight of Contractor operations by DHS without appointment of a temporary manager. f. Withholding or recovering of MROS payments. g. Termination of the contract. h. Any other sanctions that DHS determines, in its sole discretion, to be appropriate.
Appears in 4 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
