<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".22" citation="COMAR 10.09.10.22" title_num="10" subtitle_num="09" chapter_num="10" heading="Desk Reviews and Field Verification.">
  <paragraph num="A.">
    <text>Desk Reviews.</text>
    <paragraph num="(1)">
      <text>The Department or its designee may conduct a desk review of the costs before establishing the Administrative and Routine and Other Patient Care prices and Nursing Service rates.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department or its designee shall notify each provider participating in the Program if any adjustments resulted from the desk review.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Desk review adjustments shall be used in the computation of any future rate for the facility or the facility’s future owner that is based on the reported or desk reviewed costs, until the rate is rebased.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Field Verifications.</text>
    <paragraph num="(1)">
      <text>The Department or its designee may conduct a field verification of the reported or desk reviewed costs affecting reimbursement rates.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department or its designee shall notify each provider participating in the Program of the results of the field verification.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Field audit adjustments shall be used in the computation of any future rate for the facility or the facility’s future owner that is based on the reported or desk reviewed costs, until the rate is rebased.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Field audit adjustments shall be used in the recomputation of any past rate for the facility or the facility’s past owner that is based on the reported or desk reviewed costs.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>If the recomputation of rates results in a rate that differs more than 2 percent from the initial rate computation excluding the quality assessment, the Department shall initiate an adjustment for the impacted service dates within 60 days after the notification described in §B(2) of this regulation.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Field audit adjustments shall only affect the facility’s rates and do not affect prices or rates for other facilities within the geographic region.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Out-of-State facilities are not subject to field verification requirements.</text>
    </paragraph>
  </paragraph>
</regulation>