Table 6.4 Sanctions

CA
CO
CT
FL
IA
KS
MI
MS
MT
NH
NY
PA
TX
UT
VA
Adjustment to current enrollment
X
X
X
Adjustment in payment
X
X
Change in covered services
Corrective action plan
X
X
X
X
X
X
Liquidated/exemplary damages
X
X
X
X
Mandated payment for medically necessary out-of-plan care
Receivership
X
Revocation of license
State payment to out-of-plan provider furnishing necessary care, recouped from plan
Suspension or freezing new enrollment
X
X
X
X
X
X
Termination
X
X
X
X
X
X
X
X
X
X
Withholding of capitation
X
X
X
X
X
X
Withholding of shared savings
Other
X
X
X
X
X
X
X
X
X