Section He-E 806.40 - Reconsiderations for Cost Report Adjustments(a) There shall be 2 levels for appeal of cost report adjustments as described in He-E 806.02(s) and (t) as follows: (1) A reconsideration by the department, through the bureau administrator of the bureau of improvement and integrity, or his or her designee, as described in (b) through (e) below; and(2) An administrative appeal as specified in He-E 806.41.(b) Providers may use either or both the reconsideration of cost reports adjustment as outlined in (a) (1) and the appeal process as outlined in (a) (2) above.(c) A NF provider may request reconsideration of the proposed cost report adjustment(s) within 60 calendar days of the date of notification of the rate adjustments as described in He-E 806.02(t) by submitting a request for reconsideration to: NH Department of Health and Human Services
Bureau Administrator
Bureau of Improvement and Integrity
Main Building
105 Pleasant Street
Concord, NH 03301-3843
(d) The NF provider shall submit a statement as to why the request for reconsideration is being made and may submit any new or additional information that he or she wishes the bureau administrator to consider.(e) At the request of the NF provider, the reconsideration may be conducted by the bureau administrator or his or her designee as an informal meeting between the NF provider and the bureau administrator or his or her designee, or as a review by the bureau administrator or his or her designee of the information described in (f) (1) and (2) below.(f) The bureau administrator or his or her designee shall make his or her decision on the reconsideration based on:(1) A review of all information submitted by the NF provider; and(2) A review of the cost report adjustments proposed by the department to determine the accuracy of the adjustments.(g) The bureau administrator or his or her designee shall send a written decision of the reconsideration to the NF provider within 10 business days of the meeting.(h) If the provider disagrees with the decision rendered by the bureau administrator or his or her designee, the provider may utilize the administrative appeals process in accordance with He-E 806.41.N.H. Admin. Code § He-E 806.40
#8547, eff 1-24-06; ss by #9623, eff 12-24-09
Amended by Volume XXXVIII Number 02, Filed January 11, 2018, Proposed by #12440, Effective 12/23/2017, Expires 6/21/2018.Amended by Volume XXXVIII Number 28, Filed July 12, 2018, Proposed by #12566, Effective 6/29/2018, Expires 6/29/2028.