Section 29-1315. ACTION ON REQUEST FOR REINSTATEMENT

 

1315.1The Director may grant reinstatement to a provider that has been excluded only if he or she is reasonably certain that the violation that led to the exclusion will not be repeated.

 

1315.2In making this determination, the Director shall consider, among other factors, the following:

 

(a)Whether the party has been convicted in a Federal, State or local court of other offenses related to participation in the Medicare or Medicaid Program which were not considered during the development of the exclusion; and

 

(b)Whether the State of local licensing authorities have taken any adverse action against the party for offenses related to participation in the Medicare or Medicaid Programs which were not considered during the development of the exclusion.

 

1315.3If the Director approves a request for reinstatement, he or she shall give written notice to the excluded, terminated or suspended party and to all others who were informed under §1312 specifying the date on which the Medicaid Program partipation shall resume.

 

1315.4If the Director does not approve the request for reinstatement, he or she shall notify the party in writing of the decision.

 

source

Final Rulemaking published at 31 DCR 3870 (August 3, 1984).