State Member Melissa Block
State Member-
Melissa Block replied to the discussion Administrative terminations for criminal acts not involving Medicaid in the forum State Only Forum a year ago
Reply to Administrative terminations for criminal acts not involving Medicaid
The Illinois Administrative Code allows for a provider’s termination of enrollment when the provider in question “engaged in practices prohibited by applicable federal or state law or regulation.” See Ill. Admin. Code tit. 89, sec. 140.16(a)(10)(A)(i). But that overarching provision is later limited to eight categories of crimes that, upon…
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Melissa Block replied to the discussion Prepayment Review in the forum State Only Forum 2 years ago
Illinois also does not have Prepay for FFS, and we have the same policy regarding active investigations (approval first).
