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PARRIS N. GLENDENING, Governor
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Ch. 306
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(1) Client attendance;
(2) Client fees; or
(3) Sanctions allowed through regulations.
(c) (1) Under the funding system developed under subsection (a) of this
section, the Administration shall notify each private provider at least 30 days before
the beginning of the fiscal year of the billing rate or amount of funds to be paid to the
provider for the provision of community-based services to an individual with
developmental disability or a group of individuals with developmental disability for
the coming fiscal year.
(2) FOR RATES THAT ARE SET IN REGULATION, THE ADMINISTRATION
SHALL INCLUDE THE COST CENTERS USED TO DETERMINE THE FUNDING AMOUNT
OF EACH RATE.
(2) (3) (i) A private provider may request an administrative
resolution of a billing rate set under paragraph (1) of this subsection except for rates
set in regulation.
(ii) Within 60 days after receipt of the provider's request, the
Administration shall make a decision on the request for an administrative resolution.
(iii) If an administrative resolution cannot be reached between the
provider and the Administration, the provider may request an evidentiary hearing or
an oral hearing in accordance with regulations of the Department.
(d) Subject to the provisions of subsections (e), (f), and (g) of this section, the
Administration shall provide payment to private providers for the services provided
from the funds designated in subsection (c) of this section in accordance with the
following payment schedule:
(1) On or before the third business day of the fiscal quarter beginning
July 1, 33% of the total annual amount to be paid to the provider;
(2) On or before the third business day of the fiscal quarter beginning
October 1, 25% of the total annual amount to be paid to the provider;
(3) On or before the third business day of the fiscal quarter beginning
January 1, 25% of the total annual amount to be paid to the provider; and
(4) On or before the third business day of the fiscal quarter beginning
April 1, 17% of the total annual amount to be paid to the provider.
(e) The Administration may deviate from the payment schedule provided
under subsection (d) of this section for any provider:
(1) That is reimbursed through the fee payment system and fails to
submit properly completed program attendance reports within 15 days of the
beginning of each month; [or]
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- 2717 -
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![clear space](../../../images/clear.gif) |