Utah Admin. Code R414-22-9 - Monitoring
(1) If the department is aware that an
applicant or provider has had an action against them related to the following
issues, the applicant will be subject to additional monitoring. The issues
include:
(a) claims for excessive
charges;
(b) providing unnecessary
services;
(c) failing to disclose
required information; or
(d) a
misdemeanor conviction that involves health care fraud.
(2) The department shall refer applicants or
providers described in Subsection (1) to OIG to be monitored for at least six
months.
Notes
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