Section 5168.84 | Modification or Cessation.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly If the United States centers for medicare and medicaid services determines that the franchise fee is an impermissible health care-related tax under section 1903(w) of the “Social Security Act,” 42 U.S.C. 1396b(w), the department of medicaid shall do either of the following […]
Section 5168.85 | Health Insuring Corporation Franchise Fee Fund.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) There is hereby created in the state treasury the health insuring corporation franchise fee fund. All payments and penalties paid by health insuring corporations under sections 5168.77, 5168.79, and 5168.81 of the Revised Code shall be deposited into the fund. money […]
Section 5168.86 | Implementation.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly The medicaid director may adopt rules in accordance with Chapter 119. as necessary to implement sections 5168.75 to 5168.86 of the Revised Code.
Section 5168.90 | Quarterly Report to Jmoc.
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) At least quarterly, the medicaid director shall report to the members of the joint medicaid oversight committee and the executive director of the joint medicaid oversight committee both of the following: (1) The fee rates and the aggregate total of the […]
Section 5168.99 | [Repealed Effective 10/16/2023] Penalties.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) The medicaid director shall impose a penalty for each day that a hospital fails to report the information required under section 5168.05 of the Revised Code on or before the dates specified in that section. The amount of the penalty shall […]
Section 5168.991 | [Repealed Effective 10/16/2023] Offsetting Unpaid Penalty.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid may offset the amount of a hospital’s unpaid penalty imposed under section 5168.99 of the Revised Code from one or more payments due the hospital under the medicaid program. The total amount that may be offset from one […]
Section 5168.79 | Determination of Higher Fee.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly If the department of medicaid determines that the amount of a franchise fee that a health insuring corporation paid is less than the amount it should have paid, the department shall notify the health insuring corporation. Except as otherwise provided by the […]
Section 5168.80 | Request for Reconsideration.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly A health insuring corporation may request a reconsideration of a determination made by the department of medicaid under section 5168.79 of the Revised Code. A reconsideration may be requested solely on the grounds that the department made a material error in making […]
Section 5168.81 | Penalty for Overdue Payments.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly If a health insuring corporation fails to pay the full amount of a component of a franchise fee when due, the department of medicaid may assess a ten per cent penalty on the amount due for each month or fraction thereof that […]
Section 5168.82 | Waiver Required.
Effective: June 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly The franchise fee shall not be imposed on any health insuring corporation plan unless there is in effect a waiver authorizing the franchise fee issued by the United States secretary of health and human services pursuant to section 1903(w)(3)(E) of the “Social […]