Kan. Admin. Regs. § 30-5-86b

Current through Register Vol. 43, No. 49, December 5, 2024

Section 30-5-86b - Existing provider rates for community mental health centers

(a) For an existing provider and those providers resulting from a separation from or a division of an existing provider, the agency shall review the fee schedule retained for cost auditing and supplied annually to the agency by the provider to determine per hour rates. The rates shall be based on the patient-related costs submitted by the provider for its fiscal year ending on or before December 31, 1981, and any subsequent base years thereafter, as established by the secretary. The rate may be adjusted on or after each July 1 by an inflation factor established by the secretary. The rates shall be limited to the lesser of the computed rate, the highest fee charged to and paid by private patient resources within the catchment area, or the range maximums established by the secretary. Under no circumstances shall a separation or division from an existing provider be considered as the establishment of a new provider, and the existing rate shall be continued. A provider shall be reimbursed for recipients living outside their catchment areas at the same rate as recipients located within their catchment areas.

(b) Failure to complete and submit any required cost report or other financial data shall result in that center's new reimbursement rate being reduced to the lowest rate paid to a community mental health center until such time that a cost report is received and reviewed by the division of medical programs. This rule and regulation shall expire on July 1, 1988.

Authorized by and implementing K.S.A. 39-708c; effective May 1, 1986; amended May 1, 1988.