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PARRIS N. GLENDENING, Governor
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H.B. 234
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(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]
(2) That provides services under the medical assistance program and
fails to submit the designated forms used by the medical assistance program to claim
federal fund participation within 30 days after the end of each month; OR
(3) THAT FAILS TO SUBMIT A COST REPORT FOR RATE-BASED PAYMENT
SYSTEMS OR WAGE SURVEYS AS REQUIRED UNDER SUBSECTION (K) OF THIS
SECTION.
(f) A deviation from the payment schedule as provided under subsection (e) of
this section may occur only if the Administration has:
(1) Advised the provider that:
(i) An attendance report which has been submitted on time is in
need of correction; [or]
(ii) A designated medical assistance form which has been submitted
on time is in need of correction;
(III) A COST REPORT FOR RATE-BASED PAYMENT SYSTEMS HAS NOT
BEEN SUBMITTED ON TIME WITHIN 6 MONTHS FROM THE CLOSE OF THE FISCAL
YEAR OR, IF SUBMITTED, IS IN NEED OF CORRECTION; OR
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- 5027 -
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