*Providers who do not submit a cost reporting period and the period in report or one that is approved by which the rates will be in effect. ODP, or fail to submit an audit are * Providers who do not submit a assigned rates by ODP. New cost report, do not successfully providers or current providers who submit a cost report that is offer new services (providers that approved by ODP, or fail to enroll/qualify to provide a new submit an audit are assigned rates service after the cost report process by ODP. New providers or current is complete for that period & have providers who offer new services no cost history) will be assigned a (defined as providers that enroll rate by ODP. ODP assigns rates in the and qualify to provide a new following manner: service after the cost report -A provider is assigned the average process is complete for that of the provider's cost-based rates for period and have no cost history) an existing service at a new service will be assigned a rate by also location if the provider has an ODP. ODP assigns rates in the approved cost-based rate at another following manner: service location. A provider shall be -A provider is assigned the assigned the area adjusted average average of the provider's of provider cost-based rates for new rates for an existing service HCBS if: at a new service location if the (1) The cost report of the provider provider has an approved did not contain the new HCBS rate at another service because the HCBS was not delivered location. A provider shall be during the reporting period. assigned the area adjusted (2) A provider is a new provider who average of provider cost-based was not delivering HCBS during the rates for new HCBS if: reporting period of the cost report. (1) The cost report of the provider -A provider shall be assigned the did not contain the new HCBS lowest rate calculated Statewide because the HCBS was not based on all provider cost reports for delivered during the reporting HCBS if a provider was required and period. failed to submit a cost report. (2) A provider is a new provider -A provider who is required to who was not delivering HCBS submit an audit & then fails to do so during the reporting period of the shall receive the lowest rate cost report. calculated Statewide. -A provider shall be assigned the lowest rate calculated Statewide
*Providers who do not submit a cost report or one that is approved by ODP, or fail to submit an audit are assigned rates by ODP. New providers or current providers who offer new services (providers that enroll/qualify to provide a new service after the cost report process is complete for that period & have no cost history) will be assigned a rate by ODP. ODP assigns rates in the following manner: -A provider is assigned the average of the provider's cost-based rates for an existing service at a new service location if the provider has an approved cost-based rate at another service location. A provider shall be assigned the area adjusted average of provider cost-based rates for new HCBS if: (1) The cost report of the provider did not contain the new HCBS because the HCBS was not delivered during the reporting period. (2) A provider is a new provider who was not delivering HCBS during the reporting period of the cost report. -A provider shall be assigned the lowest rate calculated Statewide based on all provider cost reports for HCBS if a provider was required and failed to submit a cost report. -A provider who is required to submit an audit & then fails to do so shall receive the lowest rate calculated Statewide. reporting period and the period in which the rates will be in effect. * Providers who do not submit a cost report, do not successfully submit a cost report that is approved by ODP, or fail to submit an audit are assigned rates by ODP. New providers or current providers who offer new services (defined as providers that enroll and qualify to provide a new service after the cost report process is complete for that period and have no cost history) will also be assigned a rate by ODP. ODP assigns rates in the following manner: -A provider is assigned the average of the provider's rates for an existing service at a new service location if the provider has an approved rate at another service location. A provider shall be assigned the area adjusted average of provider cost-based rates for new HCBS if: (1) The cost report of the provider did not contain the new HCBS because the HCBS was not delivered during the reporting period. (2) A provider is a new provider who was not delivering HCBS during the reporting period of the cost report. -A provider shall be assigned the lowest rate calculated Statewide