Iowa Admin. Code r. 441-36.7 - Determination and payment of assessment
The assessment shall be determined and paid as follows:
(1) Each nursing facility
shall pay the quality assurance assessment to the department on a quarterly
basis. The facility shall:
a. Use Form
470-4836 to calculate the quarterly assessment amount due.
b. Submit Form 470-4836 and the quarterly
assessment payment no later than 30 days following the end of each calendar
quarter.
(2) The facility
shall calculate the amount of the quarterly assessment due by multiplying the
facility's total non-Medicare patient days for the preceding quarter by the
applicable assessment level as determined in subrule 36.6(2).
(3) If the department determines that a
nursing facility has underpaid or overpaid the quality assurance assessment,
the department shall notify the nursing facility of the amount of the unpaid
quality assurance assessment or refund due. Such amount shall be due or
refunded within 30 days of the issuance of the notice.
(4) A nursing facility that fails to pay the
quality assurance assessment within the time frame specified above shall pay a
penalty in the amount of 1.5 percent of the quality assurance assessment amount
owed for each month or portion of a month that the payment is overdue.
a. If the facility substantiates good cause
beyond the facility's control for failure to comply with payment of the quality
assurance assessment, the department shall waive the penalty or a portion of
the penalty. For purposes of this subrule, "good cause" shall have the same
meaning as "good cause" for setting aside a default judgment under Iowa Rule of
Civil Procedure 1.977.
b. Requests
for a good cause waiver must be submitted to Iowa Medicaid, Provider Cost Audit
and Rate Setting Unit, 1305 East Walnut Street, Des Moines, Iowa 50319-0114,
within 30 days of notice to the facility that the penalty is
due.
(5) For facilities
certified to participate in the Medicaid program, the department shall deduct
the quarterly amount due from Medicaid payments to the facility if the
department has not received the quality assurance assessment amount due by the
last day of the month in which the payment is due. The department shall also
withhold an amount equal to the penalty owed from any payment due.
Notes
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