10A NCAC 22N .0303. ENROLLMENT RESTRICTIONS

(a)  The Department shall terminate a provider's participation in the Medicaid program for specified rehabilitative services and specified habilitative services as defined in 10A NCAC 22N .0301 when notified in writing that the Division responsible for approving the provider’s enrollment  has withdrawn its approval.  The termination shall become effective the date the Division of Medical Assistance is notified the approval has been withdrawn.  The provider may re-apply for enrollment if said provider receives approval from the Division responsible for approving enrollment.

(b)  The Department shall deny enrollment, including enrollment for new or additional services, to any entity applying to provide Medicaid habilitative or rehabilitative services when an owner of the applicant entity was the owner of another entity that had its approval withdrawn by the Division responsible for approving the provider's enrollment.  The restriction shall become effective the date Division of Medical Assistance is notified the approval has been withdrawn.  The provider may re-apply for enrollment if said provider subsequently receives approval from the Division responsible for approving enrollment.

 

History Note:        Authority G.S. 108A-54; 143B-139.1;

Eff. July 1, 2004.