Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 900 - ILLINOIS PURCHASED CARE REVIEW BOARD
Section 900.342 - Basis for Appeals
Universal Citation: 89 IL Admin Code ยง 900.342
Current through Register Vol. 48, No. 38, September 20, 2024
a) The Board can grant an increase in allowable costs for any of the following reasons:
1) There has been an extraordinary
increase in program operating costs that is beyond the reasonable control of
the provider and substantially threatens the educational program's financial
viability.
2) Mechanical or
clerical errors were committed by the provider or the Board as depicted on
required cost reports and in the rate calculation process used by the Board in
determination of allowable costs.
3) Statutory or regulatory requirements of
any governmental agency have generated or will generate a substantial increase
in allowable costs during the current cost reporting period.
4) There has been or will be an extraordinary
decrease in program revenues or in external funding, subsidies, grants, gifts,
or donations that constitute a substantial portion of the funding for the core
functions of the provider's program to the extent that such revenues were
considered available when the Board approved the allowable costs for the
provider.
5) A substantial program
change has been or will be undertaken, resulting in a substantial increase in
costs. Each appeal must contain documentation with respect to the necessity of
these program costs.
6) A provider
believes a significant discrepancy exists between its enrollment figures as
submitted and the enrollment figures determined by the State Board of
Education. The provider may resolve the discrepancy with the appropriate local
school districts and appeal the initial per-student allowable cost
determination. Such an appeal will only be considered when the local school
districts amend their enrollment figures with the State Board of
Education.
7) There have been wage
increases awarded by the General Assembly to front-line personnel, defined as
direct support persons, aides, front-line supervisors, qualified intellectual
disabilities professionals, nurses, and non-administrative support staff
working in service settings in community-based settings within the State and
the provider has given the same wage increases to similar front-line personnel
in the provider's special education program.
b) If a provider elects not to submit costs to the Board for approval because the tuition charge for special education and related services has not increased by more than 10% over the prior school year and does not exceed $4,500 per year, the provider may not then submit its costs for review after the beginning of the school year. Such costs will not be approved by the Board. Any provider electing to submit a cost report used for allowable cost determination may not revert to this provision in subsequent years.
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