Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter III - Allowances for Services
Section 144-101-III-97 - Private Non-Medical Institution Services
Appendix 144-101-III-97-E - COMMUNITY RESIDENCES FOR PERSONS WITH MENTAL ILLNESS
Section 144-101-III-97-E-7000 - RATE ADJUSTMENTS FOR PROVIDERS UNDER APPENDIX E
Universal Citation: 10 ME Code Rules ยง 144-101-III-97-E-7000
Current through 2024-38, September 18, 2024
Providers may request rate adjustments as necessary. The following section details the process for such requests. No retroactive rate adjustments will be granted.
7000.1 Process for Requesting Rate Adjustments for Providers Covered Under Appendix E:
7000.1.2 To request a rate adjustment, the
provider will submit an approved and revised budget on a OMS approved form to
the OMS and to the Department. The provider will attach a narrative detailing
the reasons for the requested adjustment, the new rate, and the total cost of
the requested rate adjustment for the remainder of the fiscal year.
7000.1.3 The provider will designate a
responsible individual as a primary contact for the OMS and the
Department.
7000.1.4 The rate
adjustment submittal date will be the date received by the Department or no
more than seven days after the postmark date.
7000.1.5 The OMS and the Department will
reach a decision within 30 calendar days of the rate adjustment submittal
date.
7000.1.6 If a rate adjustment
is approved, the effective date shall be the first day of the month following
the rate adjustment submittal date.
7000.1.7 If the OMS denies the initial
request, or requires additional information, the provider shall have 5 working
days upon receipt to provide additional information. The OMS shall consider the
additional information and make a final determination within 20 working days of
receipt of the additional information.
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