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Session Laws, 1976
Volume 734, Page 1302   View pdf image
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1302                                    LAWS OF MARYLAND                              Ch. 489

FIELD VERIFICATION. THE HOSPITAL, SKILLED NURSING

FACILITY AND INTERMEDIATE CARE FACILITY SHALL HAVE THE

RIGHT TO REQUEST REVIEW OF THE FIELD VERIFICATION BY AN

APPEAL BOARD BY FILING WRITTEN NOTICE WITH THE APPEAL

BOARD WITHIN 30 DAYS AFTER RECEIPT OF THE NOTIFICATION

FROM THE DEPARTMENT OR ITS AGENT OF THE RESULTS OF THE

FIELD VERIFICATION. THE APPEAL BOARD SHALL BE COMPOSED

OF A REPRESENTATIVE OF THE INDUSTRY AFFECTED WHO IS A

PERSON KNOWLEDGEABLE IN MEDICARE AND MEDICAID

REIMBURSEMENT PRINCIPLES, APPOINTED BY THE SECRETARY; A

PERSON WHO IS EMPLOYED BY THE STATE AND KNOWLEDGEABLE IN

MEDICARE AND MEDICAID REIMBURSEMENT PRINCIPLES AND WHO
DID NOT DIRECTLY PARTICIPATE IN THE FIELD VERIFICATIONS,
APPOINTED BY THE SECRETARY; THESE TWO PERSONS SHALL THEN
PICK THE THIRD MEMBER OF THE BOARD. AFTER THE DEPARTMENT
RECEIVES THE FINDINGS OF THE APPEAL BOARD, THE DEPARTMENT
SHALL MAKE A DETERMINATION OF THE AMOUNT DUE THE STATE
AND SO NOTIFY THE HOSPITAL, SKILLED NURSING FACILITY OR
INTERMEDIATE CARE FACILITY OF THAT AMOUNT. EACH
HOSPITAL, SKILLED NURSING FACILITY, OR INTERMEDIATE CARE
FACILITY SHALL PAY THE AMOUNT DUE THE DEPARTMENT WITHIN

60 DAYS AFTER NOTIFICATION OR, IF NOTICE WAS ISSUED

BEFORE JULY 1, 1976, WITHIN 60 DAYS AFTER THAT DATE.

[[THE DEPARTMENT SHALL CHARGE 6 PER CENT INTEREST PER
ANNUM ON ANY AMOUNT REMAINING UNPAID AFTER THE 60 DAY

PERIOD. THE INTEREST CHARGED SHALL NOT BE CONSIDERED A

REIMBURSABLE COST TO THE HOSPITAL, SKILLED NURSING

FACILITY OR INTERMEDIATE CARE FACILITY.]] AFTER

EXPIRATION OF THE 60 DAY PERIOD, THE DEPARTMENT SHALL, IN

ADDITION TO OTHER RIGHTS OR REMEDIES WHICH MAY BE

AVAILABLE, RECOVER THE UNPAID BALANCE IT AND INTEREST]] BY

WITHHOLDING UP TO 20 PER CENT FROM PAYMENTS WHICH WOULD

OTHERWISE BE DUE OR PAYABLE TO THE HOSPITAL, SKILLED
NURSING FACILITY OR INTERMEDIATE CARE FACILITY.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act
shall take effect July 1, 1976.

Approved May 4, 1976.

CHAPTER 490
(House Bill 1329)

AN ACT concerning

Medical Assistance Program - Cost Reports

FOR the purpose of authorizing the Department of Health
and Mental Hygiene to require certain cost reports
be submitted by hospitals, skilled nursing
facilities, and intermediate care facilities
participating in the Maryland Medical Assistance

 

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Session Laws, 1976
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