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201 violations. The panel will then approve or deny the permanent suspension request. If a permanent suspension is granted, a notice will be sent within 48 hours or within two (2) business days. Any overpayments attached to the suspension must be entered in CSAW and coded as IV by the following week. An overpayment letter must also be mailed to the provider by the following week.
Provider Appeals Providers may appeal: • Overpayment amounts • Issuance of a permanent suspension from receiving Wisconsin Shares payments
Providers must submit appeal requests in writing to the Division of Hearings and Appeals (DHA) and indicate which decision they wish to appeal within 30 calendar days of the date of the enforcement notice. The request must include a copy of the enforcement notice.
The provider appeal process entails, but is not limited to: 1. Provider appeals decision 2. DHA notifies DCF Office of Legal Counsel 3. Exchange of Exhibits 4. Proposed Decision 5. Final Decision 6. Stipulation (if applicable) 7. Investigator completes action as directed by ALJ (if applicable)