16-28-15-1. Initial Date Fee Imposed
Sec. 1. The imposition of a quality assessment fee under this chapter occurs after June 30, 2011. As added by P.L.229-2011, SEC.162.
16-28-15-10. Rules
Sec. 10. The office shall adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.229-2011, SEC.162.
16-28-15-11. Failure to Pay Fee; Interest; Report
Sec. 11. (a) If a health facility fails to pay the quality assessment fee under this chapter not later than ten (10) days after the date the payment is due, the health facility shall pay interest on the quality assessment fee at the same rate as determined under IC 12-15-21-3(6)(A). (b) The office shall report […]
16-28-15-12. Failure to Pay Fee; Penalties
Sec. 12. (a) The state department shall do the following: (1) Notify each nursing facility and each health facility reported under section 11 of this chapter that the nursing facility’s license or health facility’s license under IC 16-28 will be revoked if the patient day information is not submitted or the quality assessment fee is […]
16-28-15-13. Review; Implementation of Chapter
Sec. 13. The interim study committee on public health, behavioral health, and human services established by IC 2-5-1.3-4 shall review the implementation of this chapter. As added by P.L.229-2011, SEC.162. Amended by P.L.205-2013, SEC.216; P.L.53-2014, SEC.134.
16-28-15-14. Expiration
Sec. 14. This chapter expires June 30, 2023. As added by P.L.229-2011, SEC.162. Amended by P.L.205-2013, SEC.217; P.L.217-2017, SEC.90; P.L.108-2019, SEC.204; P.L.165-2021, SEC.147.
16-28-15-2. “Continuing Care Retirement Community”
Sec. 2. As used in this chapter, “continuing care retirement community” means a health care facility that: (1) provides independent living services and health facility services in a campus setting with common areas; (2) either: (A) holds continuing care agreements with at least twenty-five percent (25%) of its residents (as defined in IC 23-2-4-1); or […]
16-28-15-3. “Health Facility”
Sec. 3. As used in this chapter, “health facility” refers to a health facility that is licensed under this article as a comprehensive care facility. As added by P.L.229-2011, SEC.162.
16-28-15-4. “Nursing Facility”
Sec. 4. As used in this chapter, “nursing facility” means a health facility that is certified for participation in the federal Medicaid program under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.). As added by P.L.229-2011, SEC.162.
16-28-15-5. “Office”
Sec. 5. As used in this chapter, “office” refers to the office of Medicaid policy and planning established by IC 12-8-6.5-1. As added by P.L.229-2011, SEC.162. Amended by P.L.160-2012, SEC.46.
16-28-15-6. Collection of Fee
Sec. 6. (a) Effective July 1, 2011, the office shall collect a quality assessment fee from each health facility. (b) The quality assessment fee must apply to all non-Medicare patient days of the health facility. The office shall determine the quality assessment rate per non-Medicare patient day in a manner that collects the maximum amount […]
16-28-15-7. Implementation of Waiver
Sec. 7. The office shall implement the waiver approved by the United States Centers for Medicare and Medicaid Services under 42 CFR 433.68(e)(2) that provides for the following: (1) Nonuniform quality assessment fee rates. (2) An exemption from collection of a quality assessment fee from the following: (A) A continuing care retirement community as follows: […]
16-28-15-8. Distribution of Revenue From Fee
Sec. 8. (a) The money collected from the quality assessment fee during state fiscal year 2012 may be used only as follows: (1) Sixty-seven and one-tenth percent (67.1%) to pay the state’s share of costs for Medicaid nursing facility services provided under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.). […]
16-28-15-9. Termination of Fee; Conditions
Sec. 9. If federal financial participation becomes unavailable to match money collected from the quality assessment fees for the purpose of enhancing reimbursement to nursing facilities for Medicaid services provided under Title XIX of the federal Social Security Act (42 U.S.C. 1396 et seq.), the office shall cease collection of the quality assessment fee under […]