Alleged rule noncompliance details

Rule  Chapter

Select the rule chapter the provider allegedly violated. This field is required.

Section

Select the section that was allegedly violated.

Subsection

Select the subsection that was allegedly violated.

Explain

Enter a description of how the provider allegedly violated the rule you selected above. You can enter up to 2,000 characters.

Was a Noncompliance Rule Found?

Click either Yes or No to answer this question.

If Yes, Explain

If you answered Yes to the above question, enter a description of the rule. You can enter up to 2,000 characters.