Healthcare and Family Services’ authority to impose sanctions on individuals and entities is contained in 305 ILCS 5/12-4.25 and Illinois Administrative Code Section 140.16. Also, individuals and entities voluntarily withdraw from participation in the Medical Assistance Program.
The effect of a sanction or voluntary withdrawal is that no program payment will be made for any items or services, including administrative and management services. Program payment will not be made to any entity in which a listed individual is serving as an employee, administrator, operator or in any other capacity for any services, including administrative and management services furnished, ordered or prescribed on or after the effective date of the sanction or voluntary withdrawal. Also, no payment may be made to any business or facility that submits bills for payment of items or services provided by such an individual or entity.