101 CMR, § 129.07 - Administrative Review
(1)
Purpose of Administrative Review. To ensure that an
ICF facility's rates are in continuing compliance with 101 CMR 129.00, EOHHS
may, at any time and upon its own motion, review an approved rate upon notice
to the facility.
(2)
Administrative Review of Transfers of Cost. Where an
ICF has reduced costs or increased costs by transfer of those costs to other
persons or entities that provide health care and services, EOHHS may modify the
Inpatient Rate to reflect the change in costs. In order to give effect to a
transfer of cost, each ICF must file information concerning cost, volume, and
revenue 30 days prior to implementation of a proposed transfer of cost, and
must submit any additional information regarding the transfer of cost that
EOHHS may require.
(3)
Administrative Review and Decision. Upon notice of
administrative review, the ICF shall submit such books, records, documentation,
and information as EOHHS may require. After review, EOHHS shall render a
written decision and statement of reasons for its decision.
Notes
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