Md. Code Regs. 14.31.04.06

Current through Register Vol. 52, No. 1, January 10, 2025

Section 14.31.04.06 - Reconsideration of a Committee Determination

A. A provider may request reconsideration of a Committee determination made under Regulation .05 of this chapter.

B. The Rate Section shall act on behalf of the Committee to receive and process requests for reconsideration.

C. A provider seeking reconsideration of a determination shall file a written request with the Rate Section. The request is to be filed within 30 days of the provider's receipt of notice of the Committee's determination.

D. The Rate Section shall review each request for reconsideration to determine if it provides sufficient information to complete analysis of the request.

E. Each request for reconsideration shall include detailed information regarding:

(1) The relief requested; and

(2) The basis for the relief.

F. If a request for reconsideration does not include sufficient information for review, the Rate Section shall provide written notice to the provider listing all information required to complete the review.

G. If the provider fails to provide the additional required information within 45 days of receipt of the Rate Section notice, the Rate Section shall void the provider's request for reconsideration.

H. Review by the Committee. Within 30 days of receipt of a complete request for reconsideration from the provider, the Committee shall provide written notification to the provider of its decision to:

(1) Grant the request.

(2) Grant the request with modification; or

(3) Deny the request.

I. A reconsideration of a determination by the Committee under this chapter is not a contested case within the meaning of State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.

Md. Code Regs. 14.31.04.06

Regulation .06 adopted effective 51:10 Md. R. 528, eff. 7/1/2024.