<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.09.22.08" title_num="10" subtitle_num="09" chapter_num="22" heading="Cause for Suspension or Removal and Imposition of Sanctions.">
  <paragraph num="A.">
    <text>If the Department determines that a provider, any agent or employee of a provider, or any person with an ownership interest in the provider, has failed to comply with all applicable federal or State laws or regulations, the Department may initiate one or more of the following actions against the responsible party:</text>
    <paragraph num="(1)">
      <text>Recovery of overpayments as specified in Regulation .07 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Withholding part or all of the payment by the Program;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Suspension from the Program;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Permanent removal from the Program;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Disqualification from future participation in the Program, either as a provider or as a person providing services for which Program payment will be claimed.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If the Secretary of Health and Human Services suspends or removes the provider from participation in Medicare, the Department will take similar action.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The Department shall give to the provider reasonable written notice of its intention to impose sanctions. In the notice, the Department shall:</text>
    <paragraph num="(1)">
      <text>Establish the:</text>
      <paragraph num="(a)">
        <text>Effective date of the proposed action; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reasons for the proposed action; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Advise the provider of the right to appeal.</text>
    </paragraph>
  </paragraph>
</regulation>