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<regulation prefix="Regulation" num=".03" citation="COMAR 10.01.20.03" title_num="10" subtitle_num="01" chapter_num="20" heading="Collection of Nursing Facility Quality Assessment.">
  <paragraph num="A.">
    <text>On or before the 60th day after each quarter of the State fiscal year, each nursing facility subject to the quality assessment shall pay the specified amount into a bank account established under the authority of the State Treasurer.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Late Charge.</text>
    <paragraph num="(1)">
      <text>Payments not postmarked on or before the 60th day after each quarter are subject to an interest amount equal to the State of Maryland General Fund investment portfolio interest rate in effect at the time the payment is due.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The late charge is a one-time imposition for each quarterly delinquent payment and shall equal the applicable interest rate multiplied by the quality assessment amount that is unpaid on the payment due date.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The amount of each facility's quarterly quality assessment shall equal the product of:</text>
    <paragraph num="(1)">
      <text>The per diem assessment amount, as annually calculated by and provided to the facility by the Department; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The number of non-Medicare days of care provided by the facility during the previous quarter of the State fiscal year.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>With each quarterly quality assessment payment, each nursing facility paying the quality assessment shall report, on a form provided by the Department, the nursing facility's total number of patient days and non-Medicare patient days for that quarter.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Effective July 1, 2012, the aggregated annual assessment collected under this chapter may not exceed 6 percent of the operating revenue for all nursing facilities subject to this assessment.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The Department shall pursue collection and referral of unpaid quality assessments in accordance with the timetables and agency collection standards set forth in COMAR 17.01.01.04.</text>
  </paragraph>
</regulation>