R 395.76 Rates of payment.

Rule 26. (1) MRS shall maintain a fee schedule for select vocational rehabilitation services. The fee schedule is a complete list of established rates of payment used to authorize and pay for specified services. (2) The methodology for determining established rates of payment listed on the fee schedule must be made public and consider the costs, administrative burden, personnel of vendors, and utilize peer state research. (3) The MRS fee schedule for vocational rehabilitation services is not absolute and MRS shall allow exceptions to the fee schedule so that individual needs can be addressed. The MRS fee schedule for vocational rehabilitation services must not be so low as to effectively deny an individual a necessary service. (4) MRS shall authorize services not listed on the fee schedule at the least cost to MRS that will ensure sufficient quality of services to meet the individual’s vocational rehabilitation need. (5) MRS shall not place an absolute dollar limit on specific service categories or on the total services provided to an individual. (6) MRS is not responsible for the cost of out-of-state services in excess of the cost of in-state services if either service would meet the individual’s vocational rehabilitation needs.