This text of Iowa § 249O.2 (Hospital directed payment program) is published on Counsel Stack Legal Research, covering Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
1.Prior to the department administering a hospital directed payment program under
this chapter for any specific fiscal year, the department shall submit any authorizing
documentation necessary to the centers for Medicare and Medicaid services for approval.
Upon receipt of approval from the centers for Medicare and Medicaid services, the
department shall administer the hospital directed payment program during the specified
fiscal year.
2.
a.For the sole purpose of the hospital directed payment program, the department
may impose an assessment on a hospital. The total amount of assessments collected by the
department shall not exceed the amount necessary to fully fund the nonfederal share of the
maximum state directed payment allowed under federal regulations.
b.The department shall establ
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1. Prior to the department administering a hospital directed payment program under
this chapter for any specific fiscal year, the department shall submit any authorizing
documentation necessary to the centers for Medicare and Medicaid services for approval.
Upon receipt of approval from the centers for Medicare and Medicaid services, the
department shall administer the hospital directed payment program during the specified
fiscal year.
2. a. For the sole purpose of the hospital directed payment program, the department
may impose an assessment on a hospital. The total amount of assessments collected by the
department shall not exceed the amount necessary to fully fund the nonfederal share of the
maximum state directed payment allowed under federal regulations.
b. The department shall establish requirements for timely payment of an assessment, and
any penalties for late payment or nonpayment of an assessment. Any assessment imposed
under this section shall constitute a debt due the state and may be collected by civil action
under any method provided by law.
c. The department and a third-party administrator contracted with the department may
collectively assess and collect an administrative fee of no more than four percent of the
amount of each assessment imposed.
3. Any assessments and penalties collected under this section shall be used for the
purposes of the hospital directed payment program.
4. a. The hospital directed payment program shall not be administered, an assessment
shall not be imposed, and a hospital shall not be required to pay an assessment if federal
financial participation is not available, or if the hospital directed payment program and
imposition of an assessment are not approved by the centers for Medicare and Medicaid
services.
b. If federal law or policy significantly impacts the hospital directed payment program
as determined by the department, the department, in collaboration with stakeholders, may
terminate the hospital directed payment program.
5. The department shall adopt rules pursuant to chapter 17A as necessary to administer
this chapter.