Types of Sanctions. DHS may impose the civil monetary penalties for the violations described above, as well as one or more of the following: a. Appointment of temporary management for Contractor. b. Notifying the affected participants of their right to disenroll. The Contractor shall provide assistance to any participant electing to terminate his or her enrollment, by making appropriate referrals and providing the individual’s participant record to new providers and/or a participant’s new ICA, FEA, or MCO. DHS shall ensure that a participant who is disenrolled receives appropriate choice counseling and is permitted to enroll in a new ICA, FEA, or MCO of the participant’s choosing. c. Suspension of all new enrollments after the effective date of the sanction. The suspension period may be for any length of time specified by the Department, or may be indefinite.
Appears in 2 contracts
Types of Sanctions. DHS may impose the civil monetary penalties for the violations described above, as well as one or more of the following:
a. Appointment of temporary management for Contractor.
b. Notifying the affected participants of their right to disenroll. The Contractor shall provide assistance to any participant electing to terminate his or her enrollment, by making appropriate referrals and providing the individual’s participant record to new providers and/or a participant’s new ICA, FEA, or MCO. DHS shall ensure that a participant who is disenrolled receives appropriate choice counseling and is permitted to enroll in a new ICA, FEA, or MCO of the participant’s choosing.
c. Suspension of all new enrollments after the effective date of the sanction. The suspension period may be for any length of time specified by the Department, Department or may be indefinite.
Appears in 1 contract
Sources: Iris Provider Agreement