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§ 57930. Rate Adjustments Resulting From Audit Findings.

17 CA ADC § 57930Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 17. Public Health
Division 2. Health and Welfare Agency--Department of Developmental Services Regulations
Chapter 3. Community Services
Subchapter 12. Rate Adjustments, Audit Adjustments and Rate Appeals for Community-Based Day Programs
Article 3. Audit Adjustments
17 CCR § 57930
§ 57930. Rate Adjustments Resulting From Audit Findings.
Currentness
(a) If the Department or regional center conducts an audit of the vendor, and an adjustment to the rate is required as a result of the audit, the Department shall adjust the vendor's rate as follows:
(1) The audit report shall be utilized by the Department in determining whether an adjustment to the vendor's rate is required. This determination shall be made prior to issuance of the audit report.
(A) For vendors reimbursed at a permanent payment rate, the vendor's rate shall be adjusted if the program, cost, vendor income, and as applicable, regional center payment information, used as a basis for determining the rate, does not substantiate or support the rate established by the Department.
(B) For vendors reimbursed at a temporary payment rate, the vendor's rate shall be adjusted if any of the program information used as a basis for determining the rate, does not substantiate or support the rate established by the Department.
(2) The revised rate and the effective date of the revised rate shall be determined as follows:
(A) For vendors reimbursed at a permanent payment rate, the vendor's program, cost, vendor income, and as applicable, regional center payment information used as a basis for determining the vendor's rate, adjusted for any findings in the final audit report, shall be used to determine the revised rate and its effective date.
(B) For vendors reimbursed at a temporary payment rate, the vendor's program information used as a basis for determining the vendor's rate, adjusted for any findings in the final audit report, shall be used to determine the revised rate and its effective date.
(b) If an adjustment to the vendor's rate was made pursuant to (a), the Department shall include, with the final audit report released to the vendor, written notification of the following:
(1) The revised rate and its effective date;
(2) The vendor's right to defer implementation of the revised rate and/or its effective date, pending the results of an audit appeal, if the vendor appeals the audit pursuant to Title 17, Sections 50700 through 50767;
(3) That if the vendor appeals the audit, the results of the audit appeal shall be used by the Department in accordance with (a) to determine the revised rate and its effective date; and
(4) The vendor's right to appeal errors by the Department in calculating its revised rate and/or the effective date of the revised rate pursuant to Sections 57940 through 57948.
(c) Vendors shall not appeal issues pertaining to the audit through the rate appeal process specified in Sections 57940 through 57948.
(d) A copy of the written notification and final audit report specified in (b) shall be sent to the vendoring regional center, and utilizing regional center(s), if any, at the same time the original notice and audit report are sent to the vendor. The Department shall provide the vendor, the vendoring regional center, and the utilizing regional center(s), if any, with written notification of the results of any audit appeal and revisions, if any, in the vendor's rate and its effective date.

Credits

Note: Authority cited: Section 4691, Welfare and Institutions Code. Reference: Section 4691, Welfare and Institutions Code.
History
1. New section filed 6-26-90 as an emergency; operative 7-1-90 (Register 90, No. 36). A Certificate of Compliance must be transmitted to OAL by 10-29-90 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 6-26-90 order transmitted to OAL 9-28-90 and filed 10-29-90 (Register 90, No. 46).
3. Amendment of subsections (a)(1)(A) and (a)(2)(A) and Note filed 11-5-91 as an emergency; operative 11-5-91 (Register 92, No. 21). A Certificate of Compliance must be transmitted to OAL 3-4-92 or emergency language will be repealed by operation of law on the following day.
4. Amendment of subsections (a)(1)(A) and (a)(2)(A) and Note refiled 3-4-92 as an emergency; operative 3-4-92 (Register 92, No. 25). A Certificate of Compliance must be transmitted to OAL 7-2-92 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 3-4-92 order transmitted to OAL 6-25-92 and filed 8-6-92 (Register 92, No. 33).
6. Amendment of section filed as an emergency 6-17-93; operative 6-17-93. Submitted to OAL for printing only pursuant to SB485 (Chapter 722, Statutes of 1992) Section 147(a) (Register 93, No. 26).
7. Certificate of Compliance as to 6-17-93 order transmitted to OAL 6-20-94 and filed 8-2-94 (Register 94, No. 31).
8. Change without regulatory effect amending section filed 1-17-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 3).
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 17, § 57930, 17 CA ADC § 57930
End of Document