3-002.04 Special Conditions Affecting Approval

Workers shall consult with Central Office staff before signing an agreement when the following situations arise. The potential provider's -

1. Proposed service is not clearly a defined service;

2. Proposed unit of service does not clearly coincide with one of the service unit definitions;

3. Proposed service is to be provided in excess of policy maximums;

4. Proposed unit rate exceeds the maximum rate for the service;

5. Operation contains components which are not covered by appropriate standards.