Agencies
Services
Provider Notice issued 08/05/14
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Letter requesting delay of payment
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Cash Position Statement (Financial data must be less than sixty days old)
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Loan or extension of credit denial letter (Must be less than ninety days old)
Fiscal Year 2015 Providers of Care for Persons with Developmental Disabilities Provider Assessment Program
| To: | Providers of Care for Persons with Developmental Disabilities |
| Date: | August 5, 2014 |
| Re: | Fiscal Year 2015 Provider Assessment Program |
Under Public Aid Code 305 ILCS 5/5C, Providers of Care to Persons with Developmental Disabilities (DD Providers) are assessed an amount equal to 6 percent of the facility’s adjusted gross revenue for services rendered to persons with developmental disabilities during the previous State fiscal year.
The purpose of this notice is to provide information on the reporting and payment requirements for fiscal year 2015. Please read the enclosed material carefully. The packet should include the following material.
Provider Tax Report
You must complete the tax report and return it, along with the facility's first quarter payment, to the address indicated on the report no later than September 30, 2014. Tax reports and first quarter payments postmarked on or before September 30th will be considered as received on time. Failure to file the report and pay the first quarter installment by September 30th may result in the assessment of a 25 percent late filing penalty and a five percent late payment penalty. Instructions on how to complete the tax report are included in the packet. Once the Department has processed the tax report, the facility will receive remittance cards for the remaining three quarters of fiscal year 2015.
Delay of Payment Instructions
Please read the delay of payment instructions carefully, as incomplete or late requests will not be considered. Included with the delay of payment instructions is a cash position statement to use when requesting a delay of payment. A cash position statement must be submitted with each delay of payment request. In addition to the documentation in the delay of payment instructions, a completed provider tax report must accompany the request for a delay of payment for the first quarter. Delay of payment requests for the first quarter must be submitted no later than September 10, 2014.
Chart of Important Dates
The chart identifies all the critical due dates for the fiscal year 2015 Provider Assessment Program and should be posted for easy reference.
If you have any questions regarding the fiscal year 2015 Provider Assessment Program, please feel free to contact the Bureau of Hospital and Provider Services, Assessment Unit, at (217) 524 7110.
Mashelle Rose, Bureau Chief
Bureau of Hospital and Provider Services
DD Provider
Fiscal Year 2015 Assessment Program Due Dates
Action |
1st QTR |
2nd QTR |
3rd QTR |
4th QTR |
|---|---|---|---|---|
Facility Must Submit Delay Of Payment Information To The Department By: |
September 10, 2014 |
December 10, 2014 |
March 10, 2015 |
May 12, 2015 |
Department Will Notify Facility Of Delay Of Payment Review Outcome By Mail On Or Before: |
September 17, 2014 |
December 17, 2014 |
March 17, 2015 |
May 19, 2015 |
Assessment Payment Due Date (This Due Date Also Applies If Delay Of Payment Is Denied): |
September 30, 2014 |
December 31, 2014 |
March 31, 2015 |
June 1, 2015 |
If Delay Of Payment Approved, Assessment Payment Must Be Postmarked No Later Than: |
October 30, 2014 |
February 2, 2015 |
May 1, 2015 |
July 1, 2015 |
Notes:
Delay of Payment Requests must include:
Requests may be sent via facsimile to the Department of Healthcare and Family Services, Bureau of Hospital and Provider Services at (217) 557-3502.
All Incomplete Or Late Requests Will Be Denied