R414-1-31. Withholding of Payments


Latest version.
  •   (1) In addition to other remedies allowed by law and unless specified otherwise, the Department may withhold payments to a provider if:

      (a) the provider fails to provide the requested information within 30 calendar days from the date of a written request for information; or

      (b) the provider has an outstanding balance owing the Department for any reason, including, but not limited to, claims adjustments or a provider assessment.

      (2) The Department shall provide written notice before withholding payments.

      (3) When the Department rescinds withholding of payments to a provider, it will, without notice, resume payments according to the regular claims payment cycle.