Current through Register Vol. 50, No. 9, September 20, 2024
A. When the provider fails to pay the fee
due, or any portion thereof, on or before the date it becomes delinquent,
interest at the rate of 1 1/2 percent per month compounded daily shall be
assessed on the unpaid balance until paid.
B. Collection of Delinquent Fees
1. For those health care providers enrolled
in the Louisiana Medical Assistance Program (Medicaid), collection of
delinquent provider fees will be as follows.
a. The department will withhold from the
provider's Medicaid reimbursement, an amount equal to 50 percent of the
reimbursement or the actual amount of the delinquent provider fee, including
interest and penalty, whichever is less.
b. By enrolling and participating in the
Louisiana Medical Assistance Program (Medicaid) a provider agrees that during
the period of time delinquent provider fees are being collected, no additional
provider fee delinquency will occur. If the provider becomes further
delinquent, the department will withhold 100 percent of the Medicaid
reimbursement or the actual amount of the delinquent provider fees, including
interest and penalty, whichever is less.
2. For those health care providers not
enrolled in the Louisiana Medical Assistance Program (Medicaid), the department
will avail itself of any and all appropriate legal and judicial remedies in the
collection of delinquent provider fees.
C. Nonsufficient Fund (NSF) Checks in Payment
of Fee. A specific service charge, in accordance with
R.S.
9:2782(B) as it may be
amended from time to time, shall be imposed on all NSF checks. The tender of
three NSF checks shall be cause for an audit, investigation or examination to
be made by the department, and the provider will be required to make payment
thereafter by certified check or money order.
D. In accordance with departmental
requirements relative to directed payments, hospitals that fail to pay the
assessment due, or any portion thereof, may be subject to one or more of the
following:
1. exclusion from participation in
any directed payment arrangement approved by the Centers for Medicare and
Medicaid Services pursuant to
42 C.F.R.
438.6;
2. revocation of the hospital's license;
or
3. termination of the hospital's
enrollment in the Medical Assistance Program (Medicaid).
E. Emergency Ground Ambulance Service
Provider Fees
1. Penalties and Interest for
Non-Payment of Assessment
a. If the
department audits a qualifying ambulance service providers records and
determines the net operating revenue reported is incorrect for the assessment
collected, the department shall fine the qualifying ambulance service provider
.15 percent of the corrected assessment. The fine is payable within 30 days of
the invoice.
b. If a qualifying
ambulance service provider fails to fully pay its assessment on or before the
due date, the department shall assess a late penalty of .15 percent of the
quarterly calculated assessment. The department shall reserve the right to
suspend all Medicaid payments to a qualifying ground ambulance service provider
until the provider pays the assessment and penalty due in full or until the
provider and the department reach a negotiated
settlement.
AUTHORITY
NOTE: Promulgated in accordance with Chapter 45 of Title 46 as enacted in 1992,
46:2601-2605, redesignated as Chapter 47 of Title 46, containing
R.S.
46:2621 to 46:2625 and
PL
102-234.
