1.6 Other Fees

(Procedure code XX-15)

If a vocational service is scheduled but not provided due to a cancellation with less than 24 hours’ notice or a participant “no-show,” DVR may authorize a cancellation fee of one-half of the allowable fee for the scheduled service or $150.00, whichever amount is lower. This is the maximum allowable reimbursement for missed or cancelled appointments. The payment is not automatic, and a cancellation payment may be approved only when all of the following conditions are met:

• The provider requests the payment.

• The provider sent the participant an appointment reminder at least 24 hours before the appointment.

• The provider notified the rehabilitation counselor at the time the appointment was missed or cancelled.

• The provider submits documentation with the invoice confirming that the participant cancelled with less than 24 hours’ notice (or did not attend).

(Procedure codes 01999-01, 01999-02, 01999-03, 01999-04, 01999-05, 01999-06, 01999-07, 01999-08)

Rates for Reproduction of In-File Records (in accordance with CRS 25-1-801)

• Pages 1 to 10 - $18.53 maximum

• Pages 11 to 40 - $.85 per page

• Pages greater than 41 - $.57 per page

• Review or edit in-file records is necessary prior to copying, if necessary - $10.50 maximum

• Narrative medical report based on in-file records - $42.00 maximum

• Records copied from microfilm - $1.50 per page

• Records provided on a CD - $25.00 or the above rates, whichever is less

• Postage - usual and customary rate