A hospital may appeal a decision arising from the application of standards or methods under section 256.9685, 256.9686, or 256.969, if an appeal would result in a change to the hospital's payment rate or payments. Both overpayments and underpayments that result from the submission of appeals shall be implemented. Regardless of any appeal outcome, relative values, Medicare wage indexes, Medicare cost-to-charge ratios, and policy adjusters shall not be changed. The appeal shall be heard by an administrative law judge according to sections 14.57 to 14.62, or upon agreement by both parties, according to a modified appeals procedure established by the commissioner and the Office of Administrative Hearings. In any proceeding under this section, the appealing party must demonstrate by a preponderance of the evidence that the commissioner's determination is incorrect or not according to law.
To appeal a payment rate or payment determination or a determination made from base year information, the hospital shall file a written appeal request to the commissioner within 60 days of the date the preliminary payment rate determination was mailed. The appeal request shall specify:
[Repealed, 2014 c 312 art 24 s 48]
[Repealed, 2014 c 312 art 24 s 48]
The commissioner of human services shall adopt permanent rules to implement this section and sections 256.9685, 256.9686, and 256.969 under chapter 14, the Administrative Procedure Act.
Minn. Stat. § 256.9695
1989 c 282 art 3 s 39; 1990 c 568 art 3 s 18, 19; 1991 c 292 art 4 s 30, 78; 1992 c 513 art 7 s 28; 1993 c 339 s 11, 12; 1Sp1993 c 1 art 5 s 26; 1994 c 465 art 3s 571; 1997 c 203 art 4 s 17