Relating to the creation and operations of a health care provider participation program in certain counties.

Contracts

• Billing Vendor Agreements: You must issue a directive to third-party billing vendors citing Sec. 292E.151(f). This statute explicitly prohibits adding the mandatory payment as a surcharge to patients. Ensure vendor contracts reflect this restriction to avoid consumer protection liability.
• Managed Care Agreements: While you cannot pass the tax directly, this assessment is a recognized operating expense. Incorporate this cost baseline into future rate negotiations with payers, acknowledging that Medicaid supplemental payments are intended to offset this expense.

Hiring/Training

• Revenue Cycle Management (RCM): Train billing staff to ensure no "provider tax" line items are generated.
• Treasury/Finance: Staff must be prepared to execute large wire transfers on a quarterly basis (or as determined by the County) with short notice (30 days).

Reporting & Record-Keeping

• Data Submission: You must submit a copy of the financial and utilization data previously reported to the Department of State Health Services (DSHS) under Sections 311.032 and 311.033.
• Alternative Data: If your facility does not report to DSHS, you must prepare and submit your most recent Medicare Cost Report to the County.
• Audit File: Create a segregated financial file containing the net patient revenue data used for the assessment. The County is authorized to inspect these records to verify accuracy.

Fees & Costs

• Mandatory Assessment: Budget for an annual assessment not to exceed 6% of your aggregate net patient revenue.
• Administrative Fee: The County Tax Assessor-Collector is authorized to deduct a "usual and customary" administrative fee from the collected funds.
• Penalties: Late payments trigger interest and penalties capped at the maximum rate authorized for delinquent county property taxes.