Provider Notice issued 12/14/12

Fiscal Year 2013 Long Term Care Provider Assessment

Pursuant to Public Act 96-1530 (pdf), long term care providers are to be assessed an amount equal to $6.07 times the number of occupied bed days due and payable each month. An "occupied bed day" is defined as the sum of all beds multiplied by the number of days during the month on which each bed was occupied by a resident, other than a resident for whom Medicare Part A is the primary payer. By law, this assessment cannot be billed or passed on to any resident of a nursing home.

Based on payments made to long term care providers, the department is requiring providers to file the monthly assessment reports and make assessment payments for the reporting periods of April 2012 through September 2012.

Providers will be notified of future reporting and payment requirements once the department analyzes ongoing legislative and budget constraints.

The purpose of this notice is to provide information on the reporting and payment requirements for fiscal year 2013. Please read the enclosed material carefully. The packet should include the following material:

1. Long Term Care Provider Monthly Assessment Report and Instructions

   Six Long Term Care Provider Monthly Assessment Reports (Monthly Assessment Report) for the reporting periods of April 2012 through September 2012 are enclosed. Instructions for completing the report are also enclosed. Additional copies of the report can be found at Long Term Care (SNF/ICF) Provider Monthly Assessment Report (pdf).

   The Monthly Assessment Report and monthly assessment fee must be postmarked on or before the due date to be considered as received on time.

   Failure to pay the monthly assessment on or before the due date will result in the assessment of a 5% penalty. In addition, failure to file the Monthly Assessment Report with payment will result in an additional penalty equal to 25% of the monthly assessment due.

2. Chart of Important Dates

   The chart identifies all the critical due dates for the fiscal year 2013 Long Term Care Provider Assessment Program and should be posted for easy reference.

Please note that this assessment is in addition to the Nursing Home License Fee required under Public Aid Code 305 ILCS 5/5.

If you have any questions regarding the fiscal year 2013 Long Term Care Provider Assessment, please contact the Bureau of Program and Reimbursement Analysis, Assessment Unit, at (217) 524 7110.

Mashelle Rose

Bureau of Program and Reimbursement Analysis

Illinois Department of Healthcare and Family Services

Fiscal Year 2013 LTC Occupied Bed

Provider Assessment (Fund 345)

Chart of Important Dates