Delaware Code § 30-6503

Penalties
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In addition to the penalties prescribed in Chapter 5 of this title, if any quality assessment is not paid when due, or a facility fails to
timely prepare the prescribed return form, DHSS may:
(1) Withhold any Medicaid payments to the delinquent nursing facility, including any payments due to the nursing facility for
Medicaid patients from a managed care company under contract to the Medicaid agency, until such time as the quality assessment
amount is paid in full; and/or
(2) Suspend or revoke the nursing facility license; and/or
(3) Develop a plan that requires the nursing facility to pay any delinquent quality assessment and penalty amounts in installments.

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