(6) In accordance with federal and state requirements,
when the OIG excludes a person, the OIG may notify each state agency
administering or supervising the applicable state health care program,
as well as the appropriate state or local authority or agency responsible
for licensing or certifying the person excluded. If issued, notification
includes:
(A) the facts, circumstances, and period of exclusion;
(B) a request that appropriate investigations be made
and any necessary sanctions or disciplinary actions be imposed in
accordance with applicable law and policy; and
(C) a request that the state or local authority or
agency fully and timely inform the OIG with respect to any actions
taken in response to the OIG's request.
(7) The OIG notifies the public of all persons excluded.
(8) A person who has been excluded from the Texas Medicaid
or CHIP program is excluded from the Medicaid and/or CHIP program
in every other state and from the Medicare program pursuant to each
program's applicable state or federal authority. When exclusion from
the Texas Medicaid and/or CHIP program is based on the person's exclusion
from Medicare, or from another state's Medicaid or CHIP program, the
prohibitions enumerated in paragraph (4) of this subsection may apply.
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Source Note: The provisions of this §371.1705 adopted to be effective October 14, 2012, 37 TexReg 7989; amended to be effective April 15, 2014, 39 TexReg 2833; amended to be effective May 1, 2016, 41 TexReg 2941 |