This section establishes billing and reimbursement procedures for private psychiatric hospitals submitting claims related to probable cause hearings. Private hospitals must submit invoices with supporting documentation per their contract with the Department of Behavioral Health, and the Department will reimburse eligible claims subject to available appropriated funds.
View official source5403 SUBMISSION OF CLAIM; PAYMENT OF VOUCHER 5403.1 The private hospital shall submit all claims for probable cause hearings by invoice, pursuant to this chapter and the terms of the contract between the Department and the private hospital. 5403.2 The private hospital shall submit appropriate documentation to support all claims under its contract with the Department. 5403.3 The Department will reimburse a private hospital for a probable cause hearing claim that is determined by the Department to be eligible for reimbursement pursuant to the terms of the contract between the Department and the private hospital, and the rules of this chapter, subject to the availability of appropriated funds. SOURCE: Final Rulemaking published at 60 DCR 2166 (February 22, 2013).