<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.09.33.11" title_num="10" subtitle_num="09" chapter_num="33" heading="Cause for Suspension or Removal and Imposition of Sanctions.">
  <paragraph num="A.">
    <text>Cause for suspension or removal from the Medical Assistance Program and imposition of sanctions shall be as set forth in COMAR 10.09.36.08.</text>
  </paragraph>
  <paragraph num="B.">
    <text>If the Department determines that a health home provider has failed to comply with the provisions of this chapter, the Department may initiate one or more of the following actions against the health home provider:</text>
    <paragraph num="(1)">
      <text>Recovery of overpayment made by the Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Withholding of payment by the Department;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Reduction in payment by the Department, including a 10 percent reduction in reimbursement for services that are not billed within the time frame required by Regulation .09B(2) of this chapter;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Suspension from being a health home provider;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Removal from being a health home provider; or</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Disqualification from being a health home provider at any future time.</text>
    </paragraph>
  </paragraph>
</regulation>