Utah Admin. Code 414-506-5

Current through Bulletin No. 2024-21, November 1, 2024
Section R414-506-5 - Penalties and Interest
(1) If DMHF audits a hospital's records to determine the correct discharges for the assessment for a hospital required to file a Medicare cost report, but the hospital fails to provide its Medicare cost report within the timeline required, DMHF shall fine the hospital 5% of its annual calculated assessment. The fine is payable within 30 days of invoice.
(2) If DMHF audits a hospital's records to determine the correct discharges for the assessment because the hospital does not file a Medicare cost report and did not submit its discharges and supporting documentation within the timeline required, DMHF shall fine the hospital 5% of its annual calculated assessment. The fine is payable within 30 days of invoice.
(3) If a hospital fails to fully pay its assessment on or before the due date, DMHF shall fine the hospital 5% of its quarterly calculated assessment. The fine is payable within 30 days of invoice.
(4) On the last day of each quarter, if a hospital has any unpaid assessment or penalty, DMHF shall fine the hospital 5% of the unpaid amount. The fine is payable within 30 days of invoice.
(5)
(a) If a hospital fails to pay its assessment on or before the due date, DMHF shall suspend payments to the hospital until the assessment and any fines or penalties are paid in full.
(b) DMHF shall provide written notice before withholding payments.
(c) When DMHF rescinds withholding of payments to a provider, it will, without notice, resume payments according to the regular claims payment cycle.

Utah Admin. Code R414-506-5

Amended by Utah State Bulletin Number 2020-03, effective 1/9/2020
Amended by Utah State Bulletin Number 2020-14, effective 7/1/2020