Kan. Admin. Regs. § 30-5-86e - Modification of prospective rates for community mental health centers
(a) Each community
mental health center participating in the prospective payment system may
request that the rate review committee set forth in paragraph (g) modify its
reimbursement rate if its current medicaid/medikan program unit cost exceeds
the unit reimbursement rate by at least 15%.
(b) Each rate modification request shall be
in writing, shall set forth sufficient information and documentation to support
the request, and shall be received by the division of medical programs prior to
April 1 of each year.
(c) The
review committee shall submit its recommendations to the commissioner of income
maintenance and medical services within 60 days after its receipt of the
request.
(d) The commissioner
shall have five working days from the receipt of the review committee's
recommendations to accept, modify or reject them. The recommendations of the
review committee shall become final if the commissioner fails to act within 60
days of the committee's receipt of the request.
(e) The commissioner shall notify the agency
or community mental health center of the disposition of its modification
request within five working days of the final decision.
(f) Each approved modification shall become
effective on and after July 1 of that year.
(g) The secretary shall appoint a rate review
committee consisting of six members and six alternates. Three of the members
and three of the alternates shall be selected in consultation with the
association of community mental health centers of Kansas. This rule and
regulation shall expire on July 1, 1988.
Notes
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