Authority: IC 31-25-2-18

Affected: IC 4-21.5-3-1; IC 4-21.5-3-2; IC 31-25-2-7; IC 31-27-6

Sec. 27. (a) A CPA may request a review of the administrative payment and other cost based rates approved by the department as stated in a notice letter issued in accordance with section 21(g) and (i) [section 21(g) and 21(i)] of this rule. A CPA may request a review of the administrative payment and other cost based rates when it believes that:

1. (1) errors have been made in the:

   1. (A) cost report submitted to the department under section 21(d) of this rule;
   2. (B) calculation of the administrative payment in accordance with section 21 and 23 [sections 21 and 23] of this rule; or
   3. (C) the determination by the department of the reasonableness of any cost; or
2. (2) the determination of the administrative payment by the department has an adverse impact on child welfare in Indiana that an existing provider in the state of Indiana cannot adequately address.

(b) A request for review of the administrative payment approved by the department must be submitted in writing to the department no later than thirty (30) days after the department mails the notice letter to the CPA pursuant to section 21(g) or (i) [section 21(g) or 21(i)] of this rule. The time limit for submitting a request for review under this section will be determined under the applicable provisions of IC 4-21.5-3-1 and IC 4-21.5-3-2.

(c) The request for review of the administrative payment shall be submitted in the form and manner specified by the department and shall include, but not be limited to, the following items:

1. (1) Identification of the current administrative payment and approved new administrative payment, as applicable to a specific program or service offered by the CPA.
2. (2) An itemized statement of administrative and indirect costs that the CPA considers allowable under the provisions of this rule.
3. (3) A clear, concise statement of the reasons for the requested change.
4. (4) A detailed statement of related information in support of the requested change.

The department will not accept or process an incomplete request for review of the administrative payment that does not include at least the items specified in this subsection.

(d) No request for review of the administrative payment will be acted upon if the CPA has a current license that is in the process of being revoked by the department.

(e) The department will conduct a review of the administrative payment and send notice of its decision to the CPA within thirty (30) days of receiving the request for review under this section.

(Department of Child Services; 465 IAC 2-17-27; filed May 25, 2011, 1:33 p.m.: 20110622-IR-465100417FRA; readopted filed Jun 21, 2017, 3:25 p.m.: 20170719-IR-465170216RFA; readopted filed Feb 22, 2023, 9:25 a.m.: 20230322-IR-465230002RFA)