-A provider who submits an based on all provider cost reports which indicates the information in for HCBS if a provider was the cost report requires adjustment required and failed to submit a & the provider does not submit a cost report. revised cost report, shall be assigned -A provider who is required to the lowest rate calculated Statewide. submit an audit & then fails to do -A provider that chooses to not so shall receive the lowest rate submit a cost report or the cost calculated Statewide. report is not approved will be -A provider who submits an audit assigned the lowest rate calculated which indicates the information in Statewide for each cost-based the cost report requires service. adjustment & the provider does *For providers whose cost reports not submit a revised cost report, are approved, the cost report data is shall be assigned the lowest rate reviewed by ODP. The review calculated Statewide. includes identifying outliers using a -A provider that chooses to not standardized set of criteria for all submit a cost report or the cost services with sufficient data points. report is not approved will be For outliers, ODP conducts analysis assigned the lowest rate to determine whether adjustments calculated Statewide for each are needed to address variation cost-based service. among providers' unit costs. *For providers cost reports *After the unit costs for each are approved, the cost report Residential Habilitation eligible data is reviewed undergo a service is adjusted through the review conduct by ODP or their outlier review process, a single, designee. The review includes standardized vacancy factor is identifying outliers using a applied for an average number of standardized set of criteria for all vacant days. The vacancy factor is services with sufficient data applied to finalize a provider's points. For outliers, ODP conducts residential rate. A separate payment analysis to determine whether is not made to providers for the adjustments are needed to vacancy factor. address variation among *A provider may submit a request for providers' unit costs. an exception when a provider's total the unit costs for each vacancy amount for waiver Residential Habilitation eligible residential locations exceeds the service is adjusted through the vacancy factor. outlier review process, a single,
-A provider who submits an which indicates the information in the cost report requires adjustment & the provider does not submit a revised cost report, shall be assigned the lowest rate calculated Statewide. -A provider that chooses to not submit a cost report or the cost report is not approved will be assigned the lowest rate calculated Statewide for each cost-based service. *For providers whose cost reports are approved, the cost report data is reviewed by ODP. The review includes identifying outliers using a standardized set of criteria for all services with sufficient data points. For outliers, ODP conducts analysis to determine whether adjustments are needed to address variation among providers' unit costs. *After the unit costs for each Residential Habilitation eligible service is adjusted through the outlier review process, a single, standardized vacancy factor is applied for an average number of vacant days. The vacancy factor is applied to finalize a provider's residential rate. A separate payment is not made to providers for the vacancy factor. *A provider may submit a request for an exception when a provider's total vacancy amount for waiver residential locations exceeds the vacancy factor. 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. -A provider who submits an audit which indicates the information in the cost report requires adjustment & the provider does not submit a revised cost report, shall be assigned the lowest rate calculated Statewide. -A provider that chooses to not submit a cost report or the cost report is not approved will be assigned the lowest rate calculated Statewide for each cost-based service. *For providers cost reports are approved, the cost report data is reviewed undergo a review conduct by ODP or their designee. The review includes identifying outliers using a standardized set of criteria for all services with sufficient data points. For outliers, ODP conducts analysis to determine whether adjustments are needed to address variation among providers' unit costs. the unit costs for each Residential Habilitation eligible service is adjusted through the outlier review process, a single,