Regulation .23 Recovery and Reimbursement.

Providing waiver services without a valid required license or appropriate credentials as required;

Employing staff or consultants that do not meet conditions for participation in accordance with Regulation .04 of this chapter to provide services to waiver participants;

Lacking adequate documentation of services that were billed to the Program;

Submitting claims for services not authorized in the participant's plan of care; and

Providing services that are not in accordance with the requirements of this chapter and other applicable regulations and law.