Relating to the continuation and operation of a health care provider participation district created by certain local governments to administer a health care provider participation program.

Contracts

• Medicaid Managed Care Agreements: Review current contracts with MCOs. Ensure fee schedules are updated to reflect the uniform rate enhancements funded by your participation in the District.
• Vendor Verification: The District may contract with third parties for tax collection. Verify the authority of any third-party vendor submitting invoices for these assessments before remitting payment.

Hiring/Training

• Billing Compliance Training: Finance and billing staff must be trained on Sec. 300C.0151(e). You are strictly prohibited from adding this mandatory payment as a surcharge or line item on any patient bill.
• Chargemaster Review: IT/Revenue Cycle teams must ensure no automatic pass-through logic is applied to these assessments.

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 311.032/311.033.
• Fallback Documentation: If DSHS data is unavailable, the District will default to your Medicare Cost Report from the previous fiscal year. Ensure this report is segregated and ready for inspection.
• Audit File: Create a specific "Chapter 300C Compliance" file containing assessment notices, proof of payment, and the specific data set used to calculate your liability.

Fees & Costs

• Mandatory Assessment: Budget for an annual liability of up to 6% of aggregate net patient revenue.
• Payment Schedule: Payments will be assessed annually or quarterly. Adjust cash flow projections to accommodate these lump-sum outflows.
• Penalties: Delinquent payments incur interest and penalties capped at the maximum rate authorized for other local government debts (typically property tax penalty rates).