Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-3 - MEDICAL ASSISTANCE › Subject 111-3-10 - HOSPITAL MEDICAID FINANCING PROGRAM › Rule 111-3-10-.02 - Payments to the Segregated Account

Current through Rules and Regulations filed through June 27, 2024
(1) There is established within the Trust
				Fund a Segregated Account for revenues raised through the imposition of the
				Provider Payment. Any Provider Payment assessed pursuant to this Chapter shall
				be deposited into the Segregated Account. No other funds shall be deposited
				into the Segregated Account. All funds shall be invested in the same manner as
				authorized for investing other moneys in the state treasury.
(2) Each Non-Governmental Hospital shall be
				assessed a Provider Payment not to exceed the amount necessary to obtain
				federal financial participation for medical assistance payments allowable under
				42 C.F.R. §
										447.272 and
				42 C.F.R. §
										447.321. The amount of each Non-Governmental
				Hospital's Provider Payment shall be determined by the Department using
				available hospital financial data and other information as applicable,
				including, but not limited to, hospital cost reports and the annual Hospital
				Financial Survey. The Department shall seek any Waivers and State Plan
				Amendments necessary to fully implement this Chapter.
(3) The Provider Payment shall be paid
				quarterly by each Non-Governmental Hospital to the Department. Payment of the
				Provider Payment shall be due on the last day of the last month of each
				calendar quarter; the first payment shall be due on September 30, 2013 or 30
				calendar days after the receipt of State Plan Amendment approval, whichever is
				later.
(4) The Department shall
				prepare and distribute a form on which each Non-Governmental Hospital shall
				submit information to comply with this Chapter.
(5) Each Non-Governmental Hospital shall keep
				and preserve for a period of seven (7) years such books and records as may be
				necessary to determine the amount for which it is liable under this Chapter.
				The Department shall have the authority to inspect and copy the records of a
				Non-Governmental Hospital for purposes of auditing the calculation of the
				Provider Payment. All information obtained by the Department pursuant to this
				Chapter shall be confidential and shall not constitute a public
				record.
(6) The Department shall
				impose a penalty of up to six percent (6%) for any Non- Governmental Hospital
				that fails to pay a Provider Payment within the time required by the Department
				for each month or fraction thereof that the Provider Payment is overdue. If a
				required Provider Payment has not been received by the Department by the last
				day of the last month of the calendar quarter, the Department shall withhold an
				amount equal to the Provider Payment and penalty owed from any medical
				assistance payment due such Non-Governmental Hospital under the Medicaid
				program. Any Provider Payment assessed pursuant to this Chapter shall
				constitute a debt due the state and may be collected by civil action and the
				filing of tax liens in addition to such methods provided for in this Chapter.
				Any penalty that accrues pursuant to this Rule shall be credited to the
				Segregated Account.
(7) In the
				event the Department determines that a Non-Governmental Hospital has underpaid
				the Provider Payment, the Department shall notify the Non-Governmental Hospital
				of the balance of the Provider Payment that is due. Such payment shall be due
				within thirty (30) days of the Department's notice.
Act I of the 2013
				  Session of the Georgia General Assembly.