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

Iowa Code r. 441-36.2
ARC 2361C, IAB 1/6/16, effective 1/1/16; ARC 2886C, IAB 1/4/17, effective 2/8/17; ARC 6556C, IAB 10/5/22, effective 12/1/22
Amended by IAB January 4, 2017/Volume XXXIX, Number 14, effective 2/8/2017 Amended by IAB October 5, 2022/Volume XLV, Number 7, effective 12/1/2022 Adopted by IAB April 2, 2025/Volume XLVII, Number 20, effective 6/1/2025

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