(1) For facilities located outside the state of Montana, the department may, as provided in (2), perform cost settlements and correct overpayments and underpayments in accordance with the provisions of ARM 37.86.2801.

(2) The department may determine, through the cost settlement process, whether overpayments or underpayments have resulted to out-of-state providers receiving Montana Medicaid reimbursements in excess of $50,000 per year. Where the department performs a cost settlement for an out-of-state facility, the provisions of ARM 37.86.2801 shall apply.