Indiana Code 16-28-15-8. Distribution of revenue from fee
(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.).
Terms Used In Indiana Code 16-28-15-8
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
- health facility: refers to a health facility that is licensed under this article as a comprehensive care facility. See Indiana Code 16-28-15-3
- 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. See Indiana Code 16-28-15-4
- office: refers to the office of Medicaid policy and planning established by Indiana Code 16-28-15-5
- Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5
(3) Nine and one-tenth percent (9.1%) to pay prior year state nursing facility expenditures.
(b) The money collected from the quality assessment fee during state fiscal year 2013 may be used only as follows:
(1) Sixty-six and five-tenths percent (66.5%) 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.).
(2) Twenty-nine and four-tenths percent (29.4%) to pay the state’s share of costs for other Medicaid services provided under Title XIX of the federal Social Security Act (42 U.S.C. § 1396 et seq.).
(3) Four and one-tenth percent (4.1%) to pay prior year state nursing facility expenditures.
(c) The money collected from the quality assessment fee after state fiscal year 2013 may be used only as follows:
(1) Seventy and six-tenths percent (70.6%) to pay the state’s share of the costs for Medicaid nursing facility services provided under Title XIX of the federal Social Security Act (42 U.S.C. § 1396 et seq.).
(2) Twenty-nine and four-tenths percent (29.4%) to pay the state’s share of costs for other Medicaid services provided under Title XIX of the federal Social Security Act (42 U.S.C. § 1396 et seq.).
(3) The office may decrease the percentage specified in subdivision (1) to pay state fiscal year 2011 and prior year state nursing facility expenditures only if the amounts collected in subsections (a)(3) and (b)(3) are insufficient to pay the expenditures. Once the expenditures described in this subdivision have been collected, the percentage specified in subdivision (1) shall be restored.
(d) Any increase in reimbursement for Medicaid nursing facility services resulting from maximizing the quality assessment rate under section 6(b) of this chapter shall be directed exclusively to initiatives determined by the office to promote and enhance improvements in quality of care to nursing facility residents.
(e) The office may establish a method to allow a health facility to enter into an agreement to pay the quality assessment fee collected under this chapter under an installment plan.
As added by P.L.229-2011, SEC.162. Amended by P.L.205-2013, SEC.215.