114 CMR, § 40.14 - Administrative Adjustment

(1) A hospital may apply at any time during the rate year for an administrative adjustment if there has been an arithmetic error in the calculation of the PAF or residential alcoholism treatment program fee. The Division will not entertain an application for an administrative adjustment, if the applicant hospital is seeking to reverse a substantive determination pursuant to 114.1 CMR 40.00.

(2) A hospital may apply at any time during the first nine months of the rate year for an administrative adjustment based on a request for a CBC pursuant to 114.1 CMR 40.08(4) or a new service pursuant to 114.1 CMR 40.08(5).

(3) An application for an administrative adjustment shall be made to the Chairman of the Division in writing and shall contain the following:

(a) The name and address of the hospital.

(b) The rate or rates sought to be reviewed.

(c) A clear, concise statement of reasons for the application for administrative adjustment.

(d) A detailed statement of financial, statistical, and related information in support of the application.

(e) If the application concerns a requested CBC or new service, all relevant documentation for that CBC or new service.

(f) Such other books, records and information as the Division may require.

(3) Within 60 days from receipt of a complete and satisfactory application for administrative adjustment, the Division will render a decision. A statement of reasons for the decision will be provided.

Notes

114 CMR, § 40.14