Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 22 - DEVELOPMENTAL DISABILITIES
Chapter 10.22.18 - Community Supported Living Arrangements Payment System
Section 10.22.18.03 - General Requirements
Universal Citation: MD Code Reg 10.22.18.03
Current through Register Vol. 51, No. 19, September 20, 2024
A. To provide CSLA services and seek reimbursement from the Administration, a licensee shall:
(1) Be licensed in accordance
with Health-General Article, Title 7, Annotated Code of Maryland, and COMAR
10.22.02;
(2) Comply with:
(a) COMAR 10.22.08; and
(b) COMAR 10.09.26;
(3) Execute an agreement with the
Administration;
(4) Comply with the
Administration's reporting and record-keeping requirements, including:
(a) Submitting an annual cost report on a
form approved by the Administration not later than 6 months after the end of
the State fiscal year that:
(i) Documents the
licensee's actual expenditures for the fiscal year being reported;
(ii) Is based on the licensee's audited
financial statement;
(iii) Includes
a work sheet reconciling the cost report to the financial statement;
and
(iv) Is certified by an
independent certified public accountant, who is not an employee of the licensee
or any affiliated organization, for the actual days each individual received
services; and
(b)
Retaining documentation of the costs for supplemental services for at least 6
years after the expenses are incurred; and
(c) Submitting an annual wage and benefits
survey in a format approved by the Administration by the later of 60 days
after:
(i) The last day of the pay period for
which the data is requested; or
(ii) Receipt of a request from the
Administration for wage survey information.
(5) Submit to the Administration for its
approval the number of hours of service an individual needs per week, as
documented by the individual's IP, on a form specified by the
Administration.
B. For reports and data required under this chapter, the Administration may, with notice, suspend payment of 25 percent of the provider's per diem rate until the report or data is received.
C. For the annual cost report and the annual wage and benefits survey, the Administration may, after notice and an opportunity to be heard, fiscally sanction providers as set forth in Health-General Article, §7-910(c), Annotated Code of Maryland.
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