State Codes and Statutes

State Codes and Statutes

Statutes > North-carolina > Chapter_122C > GS_122C-147_2

§ 122C‑147.2.  Purchaseof services and reimbursement rates.

(a)        When funds are usedto purchase services, the following provisions apply:

(1)        Reimbursement ratesfor specific types of service shall be negotiated between the Secretary and thearea authority. The negotiation shall begin with the rate determined by astandardized cost‑finding and rate‑setting procedure approved bythe Secretary.

(2)        The reimbursementrate used for the payment of services shall incorporate operating andadministrative costs, including costs for property in accordance with G.S. 122C‑147.

(b)        To ensureuniformity in rates charged to area programs and funded with State‑allocatedresources, the Division of Mental Health, Developmental Disabilities, andSubstance Abuse Services of the Department of Health and Human Services mayrequire a private agency that provides services under contract with an areaprogram or county program, except for hospital services that have anestablished Medicaid rate, to complete an agency‑wide uniform costfinding in accordance with subsection (a) of this section. The resulting costshall be the maximum included for the private agency in the contracting areaprogram's unit cost finding. If a private agency fails to timely and accuratelycomplete the required agency‑wide uniform cost finding in a manneracceptable to the Department's controller's office, the Department may suspendall Department funding and payment to the private agency until such time as anacceptable cost finding has been completed by the private agency and approvedby the Department's controller's office. (1993, c. 321, s. 220(j); 2005‑276, s. 10.30.)