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2017 Maryland Code
Health - General
Title 7 - Developmental Disabilities Law
Subtitle 3 - State Plan
§ 7-306.2. Study to set provider rates for community-based services.
Universal Citation: MD Health-Gen Code § 7-306.2 (2017)
- (a) In general. -- The Administration shall:
- (1) Conduct an independent cost-driven, rate-setting study to set provider rates for community-based services that includes a rate analysis and an impact study that considers the actual cost of providing community-based services, including:
- (i) The cost of transportation across all service types;
- (ii) Appropriate wage and benefit levels for direct support and supervisory staff; and
- (iii) Rates that incorporate the fiscal impact of absence days;
- (2) Develop and implement a plan incorporating the findings of the rate-setting study conducted under item (1) of this subsection, including projected costs of implementation and recommendations to address any potential shortfall in funding;
- (3) Develop a strategy for assessing the needs of an individual receiving services that conforms with the findings of the rate-setting study conducted under item (1) of this subsection;
- (4) Provide for adequate working capital payments to providers;
- (5) Develop a sound fiscal billing and payment system that is tested for adequacy and efficiency in payment of providers;
- (6) Establish a payment schedule that ensures the timely and efficient reimbursement of providers for services provided; and
- (7) Consult with stakeholders, including providers and individuals receiving services, in conducting the rate-setting study and developing the payment system required by this subsection.
- (1) Conduct an independent cost-driven, rate-setting study to set provider rates for community-based services that includes a rate analysis and an impact study that considers the actual cost of providing community-based services, including:
- (b) Completion date. -- The Administration, on or before September 30, 2017, shall complete the study required under subsection (a) of this section.
- (c) Regulations. -- The Administration shall adopt regulations to implement the payment system required by this section.
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