Section 144-101-III-97-F-5000 - AUDIT SETTLEMENTS Audit settlements will be made based on Principles of Reimbursement, Chapter III and this Appendix.
5010 Reimbursement will be limited to the total actual allowable costs of the facility, not to exceed the maximum prospective rates approved by the Department, including the medical and remedial rate and the personal care services rate.5020 The lesser of the cost per bed day, or the maximum prospective rate approved by the Department, shall be multiplied by the number of MaineCare eligible days to determine the total MaineCare cost.5030 Final settlement consists of allowable costs determined through the audit, compared to the interim payments received by the provider.10-144 C.M.R. ch. 101, § III-97-F-5000