II. Billing Questions
Question 1: What happens if I don't pay on time?
Question 2: What happens if I don't file reports?
Question 3: How do I report for different billing periods?
Question 4: Can interest and penalty be waived?
Question 5: When will I be billed for delinquent payments?
Question 6: After I am billed, can I submit payments and reports for that period?
Answer 1: Interest and penalty will be charged when monthly payments are submitted after the required due date. When the payment made for a month to which an assessment applies is less than ninety percent (90%) of the actual amount due for such month, interest is charged at a rate of twelve percent (12%) per annum on the difference between the amount paid and the amount due. Interest is calculated from the day of the month the payment was due until the date of payment. If the monthly payment is less than seventy percent (70%) of the actual amount due for such month, a five percent (5%) monthly penalty is also charged on the difference between the amount paid and the amount due for such month, up to a maximum twenty-five percent (25%).
Failure to comply with required monthly payment obligations will result in recoupment of established amounts due from your Medicaid claims cycle checks issued by the State.|top|
Answer 2: For months in which reports are not filed, the Department of Health will compute an estimated recoupment amount. Interest and penalty will be calculated based on the estimates.|top|
Answer 3: The Cash Assessment program uses a "cash basis" of reporting. Only report the revenue that was actually received during the calendar month regardless of billing period.|top|
Answer 4: Statute does not provide the Department authority to waive interest and penalty charges. Prudent providers must take whatever action is necessary to ensure the timely submission of their reports and payments by the due date.|top|
Answer 5: The Department will bill for outstanding delinquencies in approximately ninety (90) days following each calendar quarter.|top|
Answer 6: Reports and payments may be submitted until delinquent amounts are referred for recoupment from your Medicaid claims cycle checks. Upon receipt of noted outstanding reports and/or payments, your payment history will be updated. A separate recoupment notice will be mailed to you with the recalculated liability.
Provisions of Section 2807-d of the Public Health Law requires that delinquent amounts which have been referred for recoupment from your Medicaid claims cycle checks or to the Office of the Attorney General for collection, shall be deemed final and not subject to further revision or reconciliation.|top|