36-2955. Inappropriate services; federal sanctions

A. Notwithstanding section 36-2940, the director shall adopt rules which provide that the administration shall withhold or forfeit capitation payments to the program contractor pursuant to section 36-2940 if the program contractor provides inappropriate services to a person determined eligible pursuant to section 36-2933 in an amount which equals the cost of the appropriate services.

B. The cost of any federal sanctions or penalties placed on the administration for errors made by the program contractor pursuant to section 36-2940 such as inappropriate provision of services shall be recouped from the program contractor.

36-2955. Inappropriate services; federal sanctions

A. Notwithstanding section 36-2940, the director shall adopt rules which provide that the administration shall withhold or forfeit capitation payments to the program contractor pursuant to section 36-2940 if the program contractor provides inappropriate services to a person determined eligible pursuant to section 36-2933 in an amount which equals the cost of the appropriate services.

B. The cost of any federal sanctions or penalties placed on the administration for errors made by the program contractor pursuant to section 36-2940 such as inappropriate provision of services shall be recouped from the program contractor.