<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 14.31.04.08" title_num="14" subtitle_num="31" chapter_num="04" heading="Modification of a Committee Determination.">
  <paragraph num="A.">
    <text>Request for Modification. A provider may request a modification of a current Committee determination during the State fiscal year under the following conditions:</text>
    <paragraph num="(1)">
      <text>To address health and safety issues which arise after the annual rate process;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To address an emergency situation, such as fire or natural disaster;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>To address corrective action issues requested by the licensing agency or by a placing agency in conjunction with the licensing agency; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>To address a program modification requested by a licensing or placing agency.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Rate Section shall act on behalf of the Committee to receive and process requests for modifications.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A provider seeking modification of a determination shall file a written request with the Rate Section.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The Rate Section shall review each request for modification to determine if it provides sufficient information to complete analysis of the request.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Each request for modification shall include detailed information regarding:</text>
    <paragraph num="(1)">
      <text>The relief requested; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The basis for the relief.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>If a request for modification does not include sufficient information for review, the Rate Section shall provide written notice to the provider listing all information required to complete the review.</text>
  </paragraph>
  <paragraph num="G.">
    <text>If the provider fails to provide the additional required information within 45 days of receipt of the Rate Section notice, the Rate Section shall void the provider's request for modification.</text>
  </paragraph>
  <paragraph num="H.">
    <text>Review by the Committee. Within 30 days of receipt of a complete request for modification from the provider, the Committee shall provide written notification to the provider of its decision to:</text>
    <paragraph num="(1)">
      <text>Grant the request;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Grant the request with modification; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Deny the request.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>A modification of a determination by the Committee under this chapter, or an appeal to the Children's Cabinet, is not a contested case within the meaning of State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>