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C.__Whether the expenditure is comparable to an expenditure | | made by a department or agency of the State responsible for | | services or programs similar to those to which the finding | | applies; and |
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| | | D.__Whether the expenditure is consistent with meeting | | special needs of the population served through innovative or | | specialized services offered by a particular provider. |
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| | | 3.__Employee compensation and benefit costs.__In evaluating | | whether employee wages, salaries and benefits are reasonable and | | allowable, the department may not disallow the costs of any | | employee benefits, wages or salaries if the total of those costs | | is reasonable under the criteria set forth in subsection 2. |
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| | | 4.__Other expenses. The department shall modify its rules | | governing MaineCare reimbursement and other reimbursements | | pursuant to grants, contracts or agreements for health care | | providers and other agencies providing community services to | | allow, to the extent permitted by applicable federal law, the | | costs of employee information publications, health or first-aid | | clinics or infirmaries, recreational activities, employee | | counseling services and any other expenses incurred in accordance | | with the health care provider or other agency's established | | practice or custom for the improvement of working conditions, | | employer-employee relations, employee morale and employee | | performance. |
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| | | Sec. 3. 22 MRSA §42, sub-§7, ¶A, as enacted by PL 2001, c. 666, Pt. C, | | §1, is amended to read: |
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| | | A. The department shall allow a provider 60 days after the | | provider's receipt of an audit report, examination report or | | other audit determination to seek informal review of that | | determination. The department shall give to the provider | | involved in an informal review decision written notice of | | the informal review decision and of the appeal process and | | the time period for filing a notice of appeal. The | | department shall allow an additional 60 days for a provider | | to request an appeal hearing for review of the department's | | informal review decision. |
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| | | Sec. 4. 22 MRSA §42, sub-§7, ¶F, as enacted by PL 2003, c. 419, §2, is | | amended to read: |
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| | | F. By July 1, 2004 the department shall make available on its | publicly accessible site on the Internet | | all MaineCare provider appeals beginning January 1, 2004, | | including the recommendations of the |
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