Section 144-101-III-97-E-7000 - RATE ADJUSTMENTS FOR PROVIDERS UNDER APPENDIX EProviders may request rate adjustments as necessary. The following section details the process for such requests. No retroactive rate adjustments will be granted.
7000.1 Process for Requesting Rate Adjustments for Providers Covered Under Appendix E: 7000.1.2 To request a rate adjustment, the provider will submit an approved and revised budget on a OMS approved form to the OMS and to the Department. The provider will attach a narrative detailing the reasons for the requested adjustment, the new rate, and the total cost of the requested rate adjustment for the remainder of the fiscal year.7000.1.3 The provider will designate a responsible individual as a primary contact for the OMS and the Department.7000.1.4 The rate adjustment submittal date will be the date received by the Department or no more than seven days after the postmark date.7000.1.5 The OMS and the Department will reach a decision within 30 calendar days of the rate adjustment submittal date.7000.1.6 If a rate adjustment is approved, the effective date shall be the first day of the month following the rate adjustment submittal date.7000.1.7 If the OMS denies the initial request, or requires additional information, the provider shall have 5 working days upon receipt to provide additional information. The OMS shall consider the additional information and make a final determination within 20 working days of receipt of the additional information.10-144 C.M.R. ch. 101, § III-97-E-7000