Section 400.3402. Definitions.

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Rule 2. As used in these rules:

(a)“Adverse action” means any of the following:

(i)    A suspension or termination of provider participation in the medical assistance program.

(ii)    A denial of an applicant’s request for participation in the medical assistance program.

(iii)   The reduction, suspension, or adjustments of provider payments.

(iv)   Retroactive adjustments following the audit or review and determination of the daily reimbursement rates for institutional providers.

(b) “Applicant” means an individual, firm, corporation, association, agency, institution, or other legal entity that has applied to participate in the medical assistance program as a provider.

History: 1979 AC; 2016 MR 10, Eff. May 19, 2016.

                    
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