Sec. 14.31.04.04. Application for Rates Determination  


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  • A. Renewal Rates.

    (1) The Rate Section shall provide budget instructions and applications for determinations of renewal rates to in-State and out-of-State providers whose programs previously received an approved rate from the State by December 31 of each year.

    (2) Providers shall submit an application to the Rate Section for a renewal rate determination, in accordance with this chapter, by February 15 of each year.

    B. New Rates.

    (1) On written request, the Rate Section shall provide budget instructions and applications for rate determination for in-State and out-of-State providers whose programs have not previously received an approved rate from the State.

    (2) Providers shall submit to the Rate Section an application for a rate for new residential or nonpublic educational programs before anticipated licensure, accreditation, certification, or approval.

    C. Out-of-State Providers.

    (1) A provider that provides services in a licensed out-of-State facility which has a rate established by the authorized rate-setting body of the State in which services are provided shall submit documentation to the Committee of the rates established by the authorized rate-setting body of their respective state, if applicable, instead of an application.

    (2) An out-of-State provider that does not have a rate established in the State in which services are provided may submit an application in accordance with Regulation .04A or B of this chapter.

    D. Conformance with Manual. Provider applications shall conform to the requirements set forth in the Manual.