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Title: Section 86-5.15 - Rates for LTHHCP without adequate cost experience

86-5.15 Rates for LTHHCP without adequate coat experience.

(a) This subdivision shall apply where the fiscal and statistical data of the facility are unavailable through no fault of the provider or its agents, and due to circumstances beyond its control, or where there is a new facility without adequate cost experience as set forth in section 86-5.2 of this Subpart.

(b) The rates certified for such LTHHCH's as set forth in subdivision (a) of this section shall be determined on the basis of generally applicable factors, including but not limited to the following:

(1) cost guidelines as defined in section 86-5.12 of this Subpart; and

(2) allowable costs as defined in section 86-5.17 of this Subpart.

(c) All rates of reimbursement certified pursuant to this section will be subject to audit pursuant to section 86-5.7 of this Subpart.


VOLUME A-2 (Title 10)