Section 11.4 - [Effective until 11/15/2024] Required Reports(a) The following reports must be filed by a facility in accordance with DADS instructions: (1) the monthly patient day report required under subsection (c) of this section; and(2) the report of total gross receipts required under subsection (d) of this section.(b) Amended reports. (1) A facility may amend a report required under subsection (c) or (d) of this section.(2) An amended monthly patient day report must be filed no later than 20 calendar days after the last day of the month for which the report was filed.(3) An amended report of gross receipts must be filed no later than 10 calendar days after the filing of the report required under subsection (d) of this section.(c) Monthly patient day report. (1) A facility must report, not later than the 10th calendar day after the last day of a month, the total number of patient days for the facility during the preceding month.(2) A facility must file the report required by this subsection on forms or in the format and according to the instructions prescribed by DADS.(d) Reporting of gross receipts. (1) A facility must report, no later than October 31 of each year, money paid to the facility by private-pay residents and bed-hold revenue for the period of September 1 through August 31 immediately preceding the report. Notwithstanding the previous sentence, DADS may change a reporting period and reporting date if the percent of total gross receipts to be paid as QAF changes during a reporting period. DADS notifies a provider in writing if DADS changes a reporting period or reporting date in accordance with this subsection. DADS uses the amounts on file with the Claims Management System for daily rate claims and applied income, and the amounts reported by the facility for private-pay payments and bed-hold revenue to determine the total gross receipts.(2) A facility must file the report required by this subsection on forms or in the format and according to the instructions prescribed by DADS.40 Tex. Admin. Code § 11.4
The provisions of this §11.4 adopted to be effective March 1, 2010, 35 TexReg 873; amended to be effective October 11, 2011, 36 TexReg 6771