The DHFS may also require additional information from the provider or the recipient prior to acting on the request. Either the strict enforcement of a requirement would result in unreasonable hardship on the provider or on a recipient, or an alternative to a rule is in the interests of better care or management. An alternative to a rule would include a new concept, method, procedure or technique, new equipment, new personnel qualifications, or the implementation of a pilot project. The waiver or variance is consistent with all applicable state and federal statutes and federal regulations. Federal financial participation is available for all services under the waiver or variance, consistent with the Wisconsin Medicaid state plan, the federal Health Care Financing Administration, and other applicable federal program requirements.
Services relating to the waiver or variance are medically necessary.
The DHFS is required to send the provider a written notice within five days of taking this action. The notice will generally set forth the allegations without necessarily disclosing specific information about the investigation. Providers may appeal by writing to the Division of Hearings and Appeals at the address given in the Request for Hearing portion of this chapter. Wis . Admin . Code, the DHFS may impose intermediate sanctions on providers who violate certain Wisconsin Medicaid requirements.