D.C. Mun. Regs. tit. 29, r. 29-6523

Current through Register Vol. 71, No. 49, December 6, 2024
Rule 29-6523 - APPEALS
6523.1

At the conclusion of each base year audit or any other required audit, a nursing facility shall receive an audited cost report including a description of each audit adjustment and the reason for each adjustment.

6523.2

Within thirty (30) days of the date of receipt of the audited cost report, any nursing facility that disagrees with the audited cost report may request an administrative review by sending a written request for administrative review to DHCF.

6523.3

The written request for an administrative review shall include an identification of the specific audit adjustment to be reviewed, the reason for the request for review of each audit adjustment and documentation supporting the request.

6523.4

DHCF shall mail a formal response to the nursing facility no later than forty- five (45) days from the date of receipt of the written request for administrative review pursuant to § 6523.2.

6523.5

Decisions made by DHCF and communicated in the formal response described in § 6523.4 may be appealed to the Office of Administrative Hearings within thirty (30) days of the date of issuance of the formal response.

6523.6

DHCF shall issue a rate letter to each nursing facility that includes the relevant rate parameters used to determine the final rate components consistent with the requirements set forth in this chapter.

D.C. Mun. Regs. tit. 29, r. 29-6523

Final Rulemaking published at 66 DCR 13664 (10/18/2019)