Business Process Details -
Determine Adverse Action Incident
Guidance for the Determine Adverse Action Incident business process that receives an incident from an investigative unit with the direction to pursue the case to closure. The case may result in civil or criminal charges, corrective action, removal of a provider, contractor, trading partner or member from the Medicaid Program, or the State Medicaid Agency (SMA) may terminate or suspend the case
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2012
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