Appendix III, Cost Determination Process


355.102General Principles of Allowable and Unallowable Costs
355.103Specifications for Allowable and Unallowable Costs
355.105General Reporting and Documentation Requirements, Methods, and Procedures
355.106Basic Objectives and Criteria for Audit and Desk Review of Cost Reports
355.107Notification of Exclusions and Adjustments
355.108Determination of Inflation Indices
355.109Adjusting Reimbursement When New Legislation, Regulations, or Economic Factors Affect Costs
355.110Informal Reviews and Formal Appeals
355.111Administrative Contract Violations*
355.112Attendant Compensation Rate Enhancement*
355.201Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission

*Sections 355.111 and 355.112 do not apply to Nursing Facility Requirements for Licensure and Medicaid Certification (NFR/LMC).

These rules are available on the Secretary of State's Texas Administrative Code website at$ext.viewtac. To access Texas Health and Human Services Commission rules, click on Title 1, Administration, then Part 15. Click on Chapter 355, Reimbursement Rates, then Subchapter A, Cost Determination Process, to access these rules. To access  Section 355.201, click on Subchapter B, Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission.

Appears In

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