Section 29-9719. PROGRAM COMPLIANCE MONITORING

 

9719.1 Program compliance monitoring shall be the District of Columbia’s oversight of efforts made by the ADHP to correct cited deficiencies.  State monitoring shall be a safeguard against the ADHP provider’s further noncompliance.

 

9719.2 The following entities may serve as the District of Columbia’s Monitor:

 

(a) DHCF; or

 

(b) A District of Columbia contractor that meets the following requirements:

 

(1) Is not a designee or current contractor of the monitored provider;

 

(2) Does not have an immediate family member who is a participant of the provider;

 

(3) Is not a person who has been terminated for cause by the provider; and

 

(4) Is not a former contractor who has had a contract canceled, for cause, by the provider.

 

9719.3 Program compliance monitoring shall be discontinued under the following circumstances:

 

(a) The provider’s  Medicaid provider agreement is terminated;

 

(b) The provider has demonstrated to the satisfaction of the District of Columbia that it substantially complies with the DPoC as described in § 9717; or

 

(c) The provider has demonstrated to the satisfaction of the District of Columbia that it has substantially implemented the DIST as described in § 9718.

 

 

authority

An Act to enable the District of Columbia to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02 (2014 Repl.)), and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2012 Repl.)).

source

Final Rulemaking published at 63 DCR 1031 (January 29, 2016).