California Code of Regulations › Title 22 - Social Security › Division 7 - Health Planning and Facility Construction › Chapter 10 - Health Facility Data › Article 3 - Reporting Requirements › Section 97041 - Report Procedure

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Health facilities shall report to the Office as follows:
(1) Health facilities shall prepare annual
				  disclosure reports required by subsections (a) through (e) of Section
				  128735, Health & Safety Code,
				  in a standard electronic format as approved by the Office pursuant to
				  subsection (3) and file annual disclosure reports with the Office pursuant to
				  subsection (4). Health facilities may file requests for modifications to this
				  reporting requirement, as provided under Section
				  97050, where meeting this
				  requirement would not be cost-effective for the facility.
(2) To meet the requirement of subsection
				  (1), health facilities shall use a program approved pursuant to subsection (3),
				  which can be either a third-party program or their own program. Health
				  facilities intending to use a third-party program are not required to notify
				  the Office of that intent. The Office shall notify all health facilities and
				  third-parties with Office-approved electronic reporting programs of any change
				  in the electronic reporting requirements. The Office shall maintain and make
				  available a list of all programs approved pursuant to subsection (3).
(3) Programs to be used for preparing reports
				  in a standard electronic format pursuant to subsection (1) must be approved by
				  the Office in advance and must meet the Office's specifications for electronic
				  reporting. To be approved, electronic report preparation programs must be able
				  to apply Office-specified edits to the data being reported and must be able to
				  produce a standardized output file that meets the Office's specified electronic
				  formats. Specifications for preparing hospital annual reports in a standard
				  electronic format shall be provided by the Office upon request and shall
				  include file and record formats, editing criteria, and test case requirements,
				  as published by the Office in the May 2019 issue of "Instructions and
				  Specifications for Developing Approved Software to Prepare the California
				  Hospital Annual Disclosure Report", and herein incorporated by reference in its
				  entirety. For report periods ending prior to January 1, 2024, specifications
				  for preparing LTC facility annual reports in a standard electronic format shall
				  be provided by the Office upon request and shall include file and record
				  formats, editing criteria, and test case requirements, as published by the
				  Office in the October 2019 issue of "Instructions and Specifications for
				  Developing Approved Software to Prepare the California Long-Term Care Facility
				  Integrated Disclosure & Medi-Cal Cost Report", and incorporated by
				  reference in its entirety. For report periods ending on or after January 1,
				  2024, specifications for preparing LTC facility annual reports in a standard
				  electronic format shall be provided by the Office upon request and shall
				  include file and record formats, editing criteria, and test case requirements,
				  as published by the Office in the October 2023 issue of "Instructions and
				  Specifications for Developing Approved Software to Prepare the California
				  Long-Term Care Facility Integrated Disclosure & Medi-Cal Cost Report", and
				  incorporated by reference in its entirety. To obtain approval for an electronic
				  report preparation program, a request, together with the Office's specified
				  test case and a signed statement certifying that the program includes all
				  Office-specified edits, must be filed with the Office via email to
				  financial@hcai.ca.gov., at least 90 days prior to the end of the reporting
				  period to which the program applies. The Office shall review the test case and
				  respond within 60 days by either approving or disapproving the request. The
				  Office may limit the approval of the electronic report preparation program to a
				  specified period of time or reporting period(s). If disapproved, the Office
				  shall set forth the basis of denial. The Office may seek additional information
				  from the requestor in evaluating the request. Changes to the Office's
				  electronic reporting specifications may require the programs used for preparing
				  reports in a standard electronic format to be re-approved.
(4) Health facilities must file annual
				  disclosure reports with the Office using SIERA.
(5) Hospitals shall prepare and file the
				  quarterly reports required by Section
				  128740, Health & Safety Code,
				  with the Office using SIERA. Hospitals may file requests for modifications to
				  this requirement, as provided under Section
				  97050, where meeting this
				  requirement would not be cost-effective for the hospital.