Md. Code Regs. 10.22.18.03

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.22.18.03 - General Requirements

A. To provide CSLA services and seek reimbursement from the Administration, a licensee shall:

(1) Be licensed in accordance with Health-General Article, Title 7, Annotated Code of Maryland, and COMAR 10.22.02;

(2) Comply with:

(a) COMAR 10.22.08; and

(b) COMAR 10.09.26;

(3) Execute an agreement with the Administration;

(4) Comply with the Administration's reporting and record-keeping requirements, including:

(a) Submitting an annual cost report on a form approved by the Administration not later than 6 months after the end of the State fiscal year that:

(i) Documents the licensee's actual expenditures for the fiscal year being reported;

(ii) Is based on the licensee's audited financial statement;

(iii) Includes a work sheet reconciling the cost report to the financial statement; and

(iv) Is certified by an independent certified public accountant, who is not an employee of the licensee or any affiliated organization, for the actual days each individual received services; and

(b) Retaining documentation of the costs for supplemental services for at least 6 years after the expenses are incurred; and

(c) Submitting an annual wage and benefits survey in a format approved by the Administration by the later of 60 days after:

(i) The last day of the pay period for which the data is requested; or

(ii) Receipt of a request from the Administration for wage survey information.

(5) Submit to the Administration for its approval the number of hours of service an individual needs per week, as documented by the individual's IP, on a form specified by the Administration.

B. For reports and data required under this chapter, the Administration may, with notice, suspend payment of 25 percent of the provider's per diem rate until the report or data is received.

C. For the annual cost report and the annual wage and benefits survey, the Administration may, after notice and an opportunity to be heard, fiscally sanction providers as set forth in Health-General Article, §7-910(c), Annotated Code of Maryland.

Md. Code Regs. 10.22.18.03

Regulations .03 adopted as an emergency provision effective July 1, 2000 (27:15 Md. R. 1397); adopted permanently effective October 30, 2000 (27:21 Md. R. 1976)
Regulation .03 amended as an emergency provision effective July 1, 2001 (28:15 Md. R. 1395); amended permanently effective October 1, 2001 (28:19 Md. R. 1684)
Regulation .03 amended as an emergency provision effective July 1, 2002 (29:15 Md. R. 1139); amended permanently effective October 14, 2002 (29:20 Md. R. 1588)
Regulation .03A amended as an emergency provision effective July 1, 2003 (30:14 Md. R. 934); amended permanently effective September 29, 2003 (30:19 Md. R. 1333)