Section 6210.1. Purpose

Section 6210.2. Applicability

Section 6210.3. Definitions

Section 6210.11. Payment

Section 6210.12. Applicable statutes and regulations

Section 6210.13. Licensure

Section 6210.14. Time extensions

Section 6210.21. Categorically needy and medically needy recipients

Section 6210.22. State Blind Pension recipients

Section 6210.31. Provider agreement

Section 6210.32. Budgets and cost reports for State operated facilities

Section 6210.33. Budgets and cost reports for nonState operated facilities

Section 6210.34. Approved funding level

Section 6210.35. Ongoing provider responsibilities

Section 6210.41. Payment available from other sources

Section 6210.42. Certification of initial need for care

Section 6210.43. Recertification of continued need for care

Section 6210.44. Evaluations

Section 6210.45. Payment authorization

Section 6210.46. Plan of care

Section 6210.47. Continued review of plan of care

Section 6210.48. Reviews by the utilization review committee

Section 6210.49. Adverse decisions by the Inspection of Care Team

Section 6210.50. Recipient notice of adverse decisions

Section 6210.51. Attending physician decision on level of care

Section 6210.52. Payment pending appeal

Section 6210.61. Eligibility for an ICF/MR level of care

Section 6210.62. Level of care criteria

Section 6210.63. Diagnosis of mental retardation

Section 6210.64. Medical evaluation

Section 6210.65. Recertification

Section 6210.71. Limitations on payment for reserved bed days

Section 6210.72. Limitations on payment for prescription drugs

Section 6210.73. Limitations on payment during strike or disaster situations requiring recipient evacuation

Section 6210.74. Services included in the interim per diem rate

Section 6210.75. Noncompensable services

Section 6210.76. Cost reporting

Section 6210.77. Cost finding

Section 6210.78. Allowable costs

Section 6210.79. Setting interim per diem rates

Section 6210.80. Maximum rate of payment

Section 6210.81. Upper limits of payment

Section 6210.82. Annual adjustment

Section 6210.91. Annual reporting

Section 6210.92. Final reporting

Section 6210.93. Auditing requirements related to cost reports

Section 6210.94. Auditing requirements related to recipient fund management

Section 6210.101. Scope of claims review procedures

Section 6210.102. Review of need for admission

Section 6210.103. Inspections of care

Section 6210.104. Content of inspections of care

Section 6210.105. Inspection of care summary report

Section 6210.106. Facility course of action

Section 6210.107. Recipient right of appeal of alternate care determinations

Section 6210.108. Facility utilization review

Section 6210.109. Provider misutilization

Section 6210.111. Failure to file a cost report

Section 6210.112. Failure to maintain adequate records

Section 6210.113. Failure to correct deficiencies

Section 6210.114. Failure to adhere to certification requirements

Section 6210.115. Failure to adhere to medical evaluation requirements

Section 6210.116. Failure to comply with requirements of maintaining recipient’s funds

Section 6210.121. Decisions that may be appealed

Section 6210.122. Additional appeal requirements

Section 6210.123. Time limit for submission of appeal

Section 6210.124. Submission of appeal

Section 6210.125. Right to reopen audit