§ 108A-146.5 – Aggregate assessment collection amount.
108A-146.5. Aggregate assessment collection amount. The aggregate assessment collection amount is an amount of money that is calculated by subtracting the intergovernmental transfer adjustment component under G.S. 108A-146.13 from the sum of all of the following: (1) One-fourth of the State’s annual Medicaid payment. (2) The managed care component under G.S. 108A-146.7. (3) The fee-for-service […]
§ 108A-146.7 – Managed care component.
108A-146.7. Managed care component. (a) The managed care component is an amount of money that is a portion of the total paid capitation for all rating groups in all capitated contracted plan types for the previous data collection period and is calculated in accordance with this section. The managed care component consists of an inpatient […]
§ 108A-115 – Duty to report suspected fraud; content of report; immunity for reporting.
108A-115. Duty to report suspected fraud; content of report; immunity for reporting. (a) Any financial institution, or officer or employee thereof, having reasonable cause to believe that a disabled adult or older adult is the victim or target of financial exploitation shall report such information to the following: (1) Persons on the list provided by […]
§ 108A-116 – Production of customers' financial records in cases of suspected financial exploitation; immunity; records may not be used against account owner.
108A-116. Production of customers’ financial records in cases of suspected financial exploitation; immunity; records may not be used against account owner. (a) An investigating entity may, under the conditions specified in this section, petition the district court to issue a subpoena directing a financial institution to provide to the investigating entity the financial records of […]
§ 108A-117 – Notice to customer; delayed notice.
108A-117. Notice to customer; delayed notice. (a) Upon the issuance of a subpoena pursuant to G.S. 108A-116, the investigating entity shall immediately provide the customer with written notice of its action by first-class mail to the customer’s last known address, unless an order for delayed notice is obtained pursuant to subsection (b) of this section. […]
§ 108A-145.1 – Short title and purpose.
108A-145.1. Short title and purpose. This Article shall be known as the "Hospital Assessment Act." This Article does not authorize a political subdivision of the State to license a hospital for revenue or impose a tax or assessment on a hospital. (2021-61, s. 2.)
§ 108A-145.3 – Definitions.
108A-145.3. Definitions. The following definitions apply in this Article: (1) Acute care hospital. – A hospital licensed in North Carolina that is not a freestanding psychiatric hospital, a freestanding rehabilitation hospital, a long-term care hospital, or a State-owned and State-operated hospital. (2) Base capitation rate. – A periodic per-enrollee or per-event amount paid by the […]
§ 108A-145.5 – Due dates and collections.
108A-145.5. Due dates and collections. (a) Assessments under this Article are calculated, imposed, and due quarterly in the time and manner prescribed by the Secretary and shall be considered delinquent if not paid within seven calendar days of this due date. (b) With respect to any hospital owing a past-due assessment amount under this Article, […]
§ 108A-145.7 – Assessment appeals.
108A-145.7. Assessment appeals. A hospital may appeal a determination of the assessment amount owed through a reconsideration review. The pendency of an appeal does not relieve a hospital from its obligation to pay an assessment amount when due. (2021-61, s. 2.)
§ 108A-145.9 – Allowable costs; patient billing.
108A-145.9. Allowable costs; patient billing. (a) Assessments paid under this Article may be included as allowable costs of a hospital for purposes of any applicable Medicaid reimbursement formula, except that assessments paid under this Article shall be excluded from cost settlement. (b) Assessments imposed under this Article may not be added as a surtax or […]