Iowa Code r. 441-36.2 - Determination and payment of fee
For all ICFs/ID licensed in Iowa under 481-Chapter 64, including facilities not certified to participate in the Medicaid program, the fee shall be determined and paid as follows:
(1) Each facility shall pay the assessment to
the department on a quarterly basis. The facility shall:
a. Use a form prescribed by the department to
calculate the quarterly fee due.
b.
Submit the form and the quarterly fee no later than 30 days following the end
of each calendar quarter.
(2) The facility shall calculate the amount
of the quarterly fee due by multiplying 5.5 percent by the facility's total
ICF/ID payments for services received from all sources during the preceding
quarter, including but not limited to:
a.
Medicaid managed care payments.
b.
Client participation payments.
c.
Medicaid fee-for-service payments.
d. Private pay/insurance payments.
e. Ancillary service payments.
(3) If the department determines
that an ICF/ID has underpaid or overpaid the fee, the department will notify
the ICF/ID of the amount of the unpaid fee or refund due. Such amount shall be
due or refunded within 30 days of the issuance of the notice.
(4) An ICF/ID that fails to pay the fee
within 30 days of the issuance of the notice shall pay a penalty in the amount
of 1.5 percent of the unpaid fee due for each month or portion of a month that
the unpaid fee is overdue.
a. If the ICF/ID
substantiates good cause beyond the facility's control for failure to make
timely payment of the fee, the department will waive the penalty or a portion
of the penalty. For purposes of this subrule, "good cause" means the same 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 the department within 30 days of notice
to the facility that the penalty is due.
Notes
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