Arizona Laws 36-2999.54. Assessments; failure to pay; suspension or revocation
Terms Used In Arizona Laws 36-2999.54
- Medicare resident days: means resident days that are funded by the medicare program, a medicare advantage or special needs plan or the medicare hospice program. See Arizona Laws 36-2999.51
- Nursing facility: means a health care institution that provides inpatient beds or resident beds and nursing services to persons who need nursing services on a continuing basis but who do not require hospital care or direct daily care from a physician. See Arizona Laws 36-2999.51
- Resident day: means a calendar day of care provided to a nursing facility resident, including the day of admission and excluding the day of discharge. See Arizona Laws 36-2999.51
(Rpld. 10/1/31)
A. Each nursing facility shall pay a quality assessment as prescribed pursuant to this article. The administration shall determine the assessment rate prospectively for the applicable fiscal year on a per resident day basis, exclusive of medicare resident days. The administration shall adopt rules for facility reporting of nonmedicare resident days and for payment of the assessment.
B. A nursing facility may increase its charges to other payors to incorporate the assessment but may not establish a separate line-item charge on the bill reflecting the assessment.
C. If an entity conducts, operates or maintains more than one nursing facility, the entity must pay a quality assessment for each nursing facility separately.
D. If a nursing facility does not pay the full amount of the assessment when due, the director of the Arizona health care cost containment system administration may suspend or revoke the nursing facility’s Arizona health care cost containment system provider agreement registration. If the nursing facility does not comply within one hundred eighty days after the director of the Arizona health care cost containment system administration suspends or revokes the nursing facility’s provider agreement, the director of the Arizona health care cost containment system administration shall notify the director of the department of health services, who shall suspend or revoke the nursing facility’s license pursuant to section 36-427.