2-007.03B Resource Development

473 NAC 2-007.03B

When the worker assigned resource development responsibilities and a provider negotiate a rate that exceeds the maximum unit rate the worker shall -

1. Assess and document the need for the service provider;

2. Initiate Form DSS-2A requesting a specific unit rate exceeding the maximum. Include -

a. Documented rate negotiation efforts and applicable special circumstances (e.g., provider's experience, other recruitment efforts) to justify a higher rate of reimbursement;

b. A factual comparison of the rate requested to other rates for the same service in the community. No exceptions will be granted based solely upon a statement that the rate is "usual and customary"; and

c. A summary of the provider rate history, when applicable.

Note: Once a higher rate has been approved, the worker may authorize that increase whenever the provider's contract is renewed, without submitting another Form DSS-2A.

 2-007.03B1 Agency Providers