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 amount is the maximum allowable reimbursement for missed or cancelled appointments and it is not automatically authorized. 

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 scheduled 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 the appointment.

(Does not include interpreter or communication assistant services; please see “Chapter 9: Communication Services”).

(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