D.C. Mun. Regs. tit. 29, r. 29-10404

Current through Register Vol. 71, No. 44, November 1, 2024

Rule 29-10404 - ALLOWABLE COSTS

10404.1

Allowable costs shall include expenses incurred by the eligible provider in provision of emergency medical ground transportation services as identified in the cost reporting template and audited by DHCF in accordance with the requirements set forth in § 10406.

10404.2

Allowable costs shall include items of expense incurred by the eligible provider within the following categories:

(a) Capital related (i.e., expenditures associated with depreciation of buildings and equipment, leases and rentals, property insurance, and other capital related costs);

(b) Employee salary and fringe benefits;

(c) Administrative (i.e., expenditures associated with general supplies, housekeeping, postage, and other administrative costs); and

(d) Operational (i.e., expenditures associated with medical supplies, minor medical equipment, communications, and other operational costs).

10404.3

An eligible provider may request reimbursement of allowable costs, up to the reconciled costs, as determined in accordance with § 10405. Total Medicaid reimbursement to eligible providers shall not exceed one hundred percent (100%) of actual allowable costs.

10404.4

DHCF and eligible providers shall calculate and allocate allowable costs in accordance with the CMS Provider Reimbursement Manual (CMS Pub. 15-1), CMS non-institutional reimbursement policies, and 2 CFR Part 225 (Cost Principles for State, Local, and Indian Tribal Governments), which establish principles and standards for determining allowable costs and the methodology for allocating and apportioning those expenses to the District of Columbia Medicaid program.

D.C. Mun. Regs. tit. 29, r. 29-10404

Final Rulemaking published at 67 DCR 9204 (7/31/2020)