6 Pa. Code § 20.45 - Program violations and penalties
(a)
Violations. Caregivers
who receive services under the Program are subject to the administrative
actions and penalties under this section if they commit one or more of the
following acts:
(1) Making or causing to be
made a false statement or representation of a material fact relating to
information affecting eligibility for the benefits of the Program.
(2) Submitting false or fraudulent
documentation of caregiving expenses for which reimbursement is sought or
received.
(3) Violating this
chapter, including a provision which affects the eligibility status of the
primary caregiver, the payment of reimbursement benefits under this chapter or
the refusal to provide requested documentation of eligibility-related
information as provided under §
20.22 (relating to conditions of
participation).
(b)
Administrative actions and penalties.
(1) If the area agency on aging determines
that a primary caregiver has violated the act or this chapter, the area agency
on aging has the authority to suspend or terminate services to the caregiver
under this chapter.
(2) If the area
agency on aging determines that a primary caregiver has knowingly received
financial reimbursement for which the caregiver is not eligible as a result of
violations under this section, the area agency on aging may recover twice the
amount of the reimbursements determined to be inappropriate plus
interest.
(3) If the area agency on
aging determines that a primary caregiver has knowingly received reimbursement
monies from the Program by false or fraudulent documentation of eligibility for
that reimbursement, the area agency on aging shall request the appropriate
district attorney to initiate proceedings against the caregiver.
(c)
Caregiver right to
appeal. Actions by an area agency on aging against a primary caregiver
for violations under subsection (b)(1) and (2) are subject to the right of
appeal under Chapter 3 (relating to hearings and appeals).
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