Sec. 2. If after investigation the office finds that a provider has violated this article or rule adopted under this article, the office may impose at least one (1) of the following sanctions:
(1) Deny payment to the provider for program services provided during a specified time.
(2) Reject a prospective provider's application for participation in the program.
(3) Terminate a provider agreement allowing a provider's participation in the program.
(4) Assess a civil penalty against the provider in an amount not to exceed three (3) times the amount paid to the provider that exceeds the amount that was legally due.
(5) Assess an interest charge, at a rate not to exceed the rate established by IC 24-4.6-1-101(2) for judgments on money, on the amount paid to the provider that exceeds the amount that was legally due. The interest charge accrues from the date of the overpayment to the provider.
As added by P.L.273-1999, SEC.177.
Structure Indiana Code
Article 17.6. Children's Health Insurance Program
Chapter 6. Provider Sanctions, Theft, Kickbacks, and Bribes
12-17.6-6-1. Applicability of Chapter
12-17.6-6-2. Provider Sanctions
12-17.6-6-3. Ineligibility to Participate in Program
12-17.6-6-4. Administrative Review
12-17.6-6-6. Provider to Notify Recipients of Services for Which Office Will Not Pay
12-17.6-6-7. Duration of Final Directive
12-17.6-6-8. Conditions for Reinstatement of Provider Under Sanction
12-17.6-6-9. Provider Filing Agreements Under Sanction
12-17.6-6-10. Ineligibility of Provider Under Sanction to Submit Claims
12-17.6-6-11. Prima Facie Evidence of Intent to Deprive State of Value