After a utilization review, the CRS program gives the provider a report of the findings.

The provider may appeal the report within 30 days of receiving the findings by submitting a written report that includes supporting documentation disputing the findings.

The provider may appeal specifically about billing for tier services. (For information about tier rates, see the 13.6 Residential and it subsections.)

The CRS program reviews the provider’s appeal and sends the outcome of the review to the provider.