Opinion ID: 4209304
Heading Depth: 1
Heading Rank: 3

Heading: dhcf's medicaid program regulations

Text: The Medicaid Program regulations in Title 29, Chapter 13 of the District's Municipal Regulations are structured on the type of action to be taken by the administrative agency - for example, exclusion of Medicaid provider from reimbursement, 29 DCMR § 130 I ( 1984), termination of Medicajd provider agreement, 29 DCMR § 1302, notice of proposed exclusion or termination relating to § 1302, 29 DCMR § 1303, suspension for conviction of program-related offense, 29 DCMR § 1304, suspension of Medicaid payments for overpayments, 29 DCMR § 1305, suspension of Medicaid payments for overpayments - proceeding, 29 DCMR § 1306, and suspension of Medicaid payments for overpayment - evidence and notice, 29 DCMR § 1307. Noticeably absent from Title 29, Chapter 13 of the DCMR are regulations concerning the suspension of Medicaid payments due to a credible allegation of fraud and related regulations pertaining to notice, proceeding and evidence in that kind of suspension. 20