Alabama Administrative Code › Title 560 - ALABAMA MEDICAID AGENCY › Chapter 560-X-23 - HOSPITAL REIMBURSEMENT PROGRAM › Section 560-X-23-.05 - Psychiatric Hospitals

Current through Register Vol. 42, No. 9, June 28, 2024
(1) For
			 the period October 1 through September 30 in addition to any other funds paid
			 to private free-standing psychiatric hospitals for inpatient hospital services
			 to Medicaid patients, qualifying hospitals shall receive a
n
			 annual
private |free-standing psychiatric hospital access payment
			 as described in the Alabama Medicaid Agency State Plan and amendments thereto
			 as currently approved by the Hospital Services and Reimbursement
			 Panel
(2) General - Annual cost
			 report filing, by completing Medicaid prescribed standard cost report forms, is
			 mandatory for P-psychiatric hospitals. Cost reports shall be completed in
			 |accordance with the Instructions for the Alabama Medicaid Uniform Cost Report.
(a) Cost Report Year-Ends - Each provider is
			 required to file a uniform cost report for each fiscal year. The provider may
			 elect the last day of any month as the fiscal year end. The cost report is due
			 ninety (90) days after the fiscal year endelected by the provider. To change
			 the fiscal year end, a written request must be received by the Alabama Medicaid
			 Agency no later than sixty (60) days prior to the close of the provider's
			 current cost reporting period. Providers must have written approval from the
			 Alabama Medicaid Agency before changing the reporting period.
(b) Cost Report Filing - One copy of the
			 complete uniform cost report must be received by Medicaid
within
three |months after the Medicaid cost report
			 year-end. It shall be signed by an
authorized
official
			 or owner of the hospital. If | the cost report is prepared by anyone other than
			 an official or a full-time employee of the hospital, such person shall duly
			 execute and submit the report as the Cost Report Preparer. The signatures of
			 both the hospital official and Cost Report Preparer, if any, must be preceded
			 by the following certification:
INTENTIONAL MISREPRESENTATION OR FALSIFICATION OF ANYIN
				FORMATION CONTAINED IN THIS COST REPORT MAY BE PUNISHABLE BY FINE AND/OR
				IMPRISONMENT UNDER FEDERAL LAW.
I HEREBY CERTIFY that I have read the above statement and -
				|that I have examined the accompanying Cost Report and supporting schedules
				prepared on behalf of (hospital name(s)and Number(s)) for the cost report
				period beginning and ending and that to the best of my knowledge and belief, it
				is a true, correct, and complete report prepared from the books and records of
				the hospital(s) in accordance with applicable Alabama Medicaid Reimbursement
				Principles, exceptas noted.
signed ______________________________________
Officer or Administrator of Hospital(s)
Cost Report Prepared
				By:_________________________________________
Title
_________________________________________
Date
Any cost report received by Medicaid without the required
				original signatures and/or certification(s) will be deemed incomplete and
				returned to the hospital.
A cost report may be submitted in electronic format with a
				printed signed page of certification.
(c) Extensions - Cost reports shall be
			 prepared with due diligence and care to prevent the necessity for later
			 submittals of corrected or supplemental information by hospitals. Extensions
			 may be granted only upon approval by Medicaid. The extension request must be in
			 writing, containing the reasons for the request, and must be made prior to the
			 cost report due date. Only one thirty-one day extension per cost reporting year
			 will be granted by the Agency.
(d)
			 Penalties. Late Filing - If a complete uniform cost report is not filed by the
			 due date, the hospital shall be charged a penalty of one hundred dollars per
			 day for each calendar day after the due date. This penalty will not be a
			 reimbursable Medicaid cost. The Commissioner of Medicaid may waive such penalty
			 for good cause shown. Such showing must be made in writing to the Commissioner
			 with supporting documentation. A cost report that is over ninety (90) days late
			 may result in termination of the hospital from the Medicaid program. Further,
			 the entire amount paid to the hospital during the fiscal period with respect to
			 which the report has not been filed will be deemed an overpayment. The hospital
			 will have thirty (30) days to refund the overpayment or submit the cost report
			 after which Medicaid may institute a suit or other action to collect this
			 overpayment amount. No further payment will be made to the hospital until the
			 cost report has been received by Medicaid.