Section 240.1920 Contract Specific Variations

Section 240

Section 240.1920  Contract

Specific Variations

The Department will consider

reimbursing a provider at a rate other than the established fixed unit rate to

compensate for contract specific variations in cost.  This consideration will

be made under the following circumstances:

a)         Evidence suggests that a contract area currently served by a

provider will become "unserved" due to inadequate reimbursement by

the State to cover costs.  An adjusted rate will be used only after the

"emergency contracting process", as defined in Section 240.1605, has

shown that no provider offered an emergency contract is willing to provide

service in the contract area at the established fixed unit rate.  The adjusted

rate will then be determined through the competitive procurement process as

defined in Section 240.1605.

b)         Once a contract area has established an adjusted rate, that

rate shall be effective until a new procurement process has been initiated.

c)         The adjusted rate contractor must still meet the requirements

for an in-home service provider as stated in Sections 240.2020 and 240.2040.