§ 5168.76 — Franchise fee on health insuring corporation plans

Ohio § 5168.76

• Jurisdiction: Ohio
• Title 51: Public Welfare
• Ch. 5168: Hospital Care Assurance Program; Health Care Franchise Permit Fees

Text

(A) For the purposes specified in section5168.85of the Revised Code and subject to sections5168.82,5168.83, and5168.84of the Revised Code, a franchise fee is hereby imposed each month beginning with July 2017 on each health insuring corporation plan. The franchise fee shall have a component based on Ohio medicaid member months and another component based on other Ohio member months.

(B) The department of medicaid shall determine the amount of the monthly franchise fee to be imposed on a health insuring corporation plan under the component based on Ohio medicaid member months. The determination shall be made as part of the process of determining the annual capitated payment rates to be paid to medicaid managed care organizations under the care management system. The following rates shall be used as part of the determination:

(C) The amount of the monthly franchise fee to be imposed on a health insuring corporation plan under the component based on other Ohio member months shall be determined by multiplying the number of other Ohio member months that the health insuring corporation plan had for the month by the applicable rate or rates. The applicable rate or rates to be used in the calculation for a health insuring corporation plan for a month shall depend on the cumulative total number of other Ohio member months the health insuring corporation plan had for all of a rate year's months that ended before the beginning of the month in which the franchise fee is due.

The following table shows the applicable rate or rates:

Legislative History

Effective: June 29, 2017 | Latest Legislation: House Bill 49 - 132nd General Assembly