Section 367-I. Personal care services provider assessments  


Latest version.
  • 1. Providers of
      personal  care  services,  excepting  those  certified   under   article
      thirty-six  of  the  public health law, are charged assessments on their
      gross receipts received  from  all  personal  care  services  and  other
      operating  income  on a cash basis in the percentage amounts and for the
      periods specified in subdivision two of this section.  Such  assessments
      shall  be  submitted  by  or  on  behalf  of such personal care services
      providers to the commissioner of health or his/her designee.
        2. (a) The assessment shall be six-tenths of one percent of each  such
      provider's  gross  receipts received from all personal care services and
      other operating income on a cash basis beginning January first, nineteen
      hundred ninety-one; provided, however, that for all such gross  receipts
      received  on  or  after  April first, nineteen hundred ninety-nine, such
      assessment shall be two-tenths of one percent, and further provided that
      such assessment shall expire and be of no further effect  for  all  such
      gross receipts received on or after January first, two thousand.
        (b)  Notwithstanding  any  contrary  provisions of this section or any
      other contrary provision of law or regulation, the assessment  shall  be
      thirty-five  hundredths  of  one  percent  of each such provider's gross
      receipts from all personal care services and other operating income on a
      cash basis for periods on and after April first, two thousand nine.
        3. Gross receipts received from all personal care services  and  other
      operating  income  for  purposes  of  the  assessments  pursuant to this
      section shall include, but not be limited to, all monies received for or
      on account of personal care services, provided, however, that subject to
      the provisions of subdivision eleven of  this  section  income  received
      from  grants,  charitable  contributions,  donations  and  bequests  and
      governmental deficit financing  shall  not  be  included,  and  provided
      further,  however,  that  moneys  received  from a certified home health
      agency or a provider of a long term home health care program assessed on
      such moneys pursuant to section thirty-six  hundred  fourteen-a  of  the
      public health law shall not be included.
        4.  Estimated  payments by or on behalf of such personal care services
      providers to the commissioner of health or his/her designee of funds due
      from the assessments pursuant to subdivision two of this  section  shall
      be made on a monthly basis. Estimated payments shall be due on or before
      the  fifteenth  day  following  the  end of a calendar month to which an
      assessment applies.
        5. (a) If an estimated payment made for a month to which an assessment
      applies is less than seventy percent of an amount  the  commissioner  of
      health  determines  is  due,  based  on  evidence of prior period moneys
      received by a personal care services  provider  or  evidence  of  moneys
      received  by  such  personal  care services provider for that month, the
      commissioner of health may estimate the amount due  from  such  personal
      care  services  provider  and  may  collect  the  deficiency pursuant to
      paragraph (c) of this subdivision.
        (b) If an estimated payment made for a month to  which  an  assessment
      applies  is  less  than  ninety percent of an amount the commissioner of
      health determines is due, based  on  evidence  of  prior  period  moneys
      received  by  a  personal  care  services provider or evidence of moneys
      received by such personal care services provider for that month, and  at
      least  two  previous  estimated payments within the preceding six months
      were less than ninety percent  of  the  amount  due,  based  on  similar
      evidence,  the  commissioner  of health may estimate the amount due from
      such personal care services provider  and  may  collect  the  deficiency
      pursuant to paragraph (c) of this subdivision.
        (c)  Upon receipt of notification from the commissioner of health of a
      provider's deficiency under this section, the comptroller  or  a  fiscal
    
      intermediary   designated   by  the  director  of  the  budget,  or  the
      commissioner  of  social  services,  or  a  corporation  organized   and
      operating  in  accordance with article forty-three of the insurance law,
      or  an  organization  operating in accordance with article forty-four of
      the public health law shall withhold from the amount of any  payment  to
      be  made  by  the  state  or  by such article forty-three corporation or
      article forty-four organization  to  the  provider  the  amount  of  the
      deficiency  determined under paragraph (a) or (b) of this subdivision or
      paragraph (e) of subdivision six of this section. Upon withholding  such
      amount,  the  comptroller  or  a  designated fiscal intermediary, or the
      commissioner of social services, or corporation organized and  operating
      in   accordance  with  article  forty-three  of  the  insurance  law  or
      organization operating in accordance  with  article  forty-four  of  the
      public health law shall pay the commissioner of health, or his designee,
      such amount withheld on behalf of the provider.
        (d) The commissioner of health shall provide a provider with notice of
      any  estimate  of  an amount due for an assessment pursuant to paragraph
      (a) or (b) of this subdivision or paragraph (e) of  subdivision  six  of
      this  section  at least three days prior to collection of such amount by
      the commissioner of health. Such  notice  shall  contain  the  financial
      basis for the commissioner of health's estimate.
        (e) In the event a provider objects to an estimate by the commissioner
      of  health  pursuant  to  paragraph  (a)  or  (b) of this subdivision or
      paragraph (e) of subdivision six of this section of the amount  due  for
      an  assessment,  the  provider, within sixty days of notice of an amount
      due, may request a public  hearing.  If  a  hearing  is  requested,  the
      commissioner  of  health shall provide the provider an opportunity to be
      heard and  to  present  evidence  bearing  on  the  amount  due  for  an
      assessment  within  thirty  days  after  collection  of an amount due or
      receipt  of  a  request  for  a  hearing,   whichever   is   later.   An
      administrative hearing is not a prerequisite to seeking judicial relief.
        (f)  The  commissioner  of  health  may  direct that a hearing be held
      without any request by a personal care services provider.
        6. (a) Every personal care services provider shall submit reports on a
      cash basis of actual gross  receipts  received  from  all  patient  care
      services and operating income for each month as follows:
        (i)  for the period January first, nineteen hundred ninety-one through
      January thirty-first, nineteen hundred ninety-one, the report  shall  be
      filed on or before March fifteenth, nineteen hundred ninety-one; and
        (ii)  for the quarter year ending March thirty-first, nineteen hundred
      ninety-one and for each quarter thereafter, the report shall be filed on
      or before the forty-fifth day after the end of such quarter.
        (b) Every personal care services provider  shall  submit  a  certified
      annual  report  on  a  cash  basis  of  gross  receipts received in such
      calendar year from all patient care services and operating income.
        (c) The reports shall be in such form as  may  be  prescribed  by  the
      commissioner  of  health  to accurately disclose information required to
      implement this section.
        (d) Final payments  shall  be  due  for  all  personal  care  services
      providers  for  the  assessments  pursuant  to  subdivision  two of this
      section upon the due date for submission  of  the  applicable  quarterly
      report.
        (e)  The  commissioner  of  health  may  recoup  deficiencies in final
      payments pursuant to paragraph (c) of subdivision five of this section.
        7. (a) If an estimated payment made for a month to which an assessment
      applies is less than ninety percent of the actual amount  due  for  such
      month,  interest  shall be due and payable to the commissioner of health
      on the difference between the amount paid and the amount  due  from  the
    
      day  of  the  month  the  estimated  payment  was  due until the date of
      payment. The rate of interest shall be twelve percent per  annum  or  at
      the  rate  of  interest  set by the commissioner of taxation and finance
      with  respect  to  underpayments  of  tax  pursuant to subsection (e) of
      section one thousand ninety-six of the tax  law  minus  four  percentage
      points.  Interest  under  this paragraph shall not be paid if the amount
      thereof is less than one dollar. Interest, if not paid by the  due  date
      of  the  following  month's  estimated  payment, may be collected by the
      commissioner of health pursuant to paragraph (c) of subdivision five  of
      this section in the same manner as an assessment pursuant to subdivision
      two of this section.
        (b)  If  an  estimated payment made for a month to which an assessment
      applies is less than seventy percent of the actual amount due  for  such
      month,  a penalty shall be due and payable to the commissioner of health
      of five percent of the difference between the amount paid and the amount
      due for such month when the failure to pay is for a duration of not more
      than one month after the due date of the payment with an additional five
      percent for each additional month or fraction thereof during which  such
      failure continues, not exceeding twenty-five percent in the aggregate. A
      penalty  may  be  collected  by  the  commissioner of health pursuant to
      paragraph (c) of subdivision five of this section in the same manner  as
      an assessment pursuant to subdivision two of this section.
        (c)  Overpayment  by a personal care services provider of an estimated
      payment shall be applied to any other payment due from the personal care
      services provider pursuant to this section, or, if no payment is due, at
      the election of the personal care services provider shall be applied  to
      future  estimated  payments  or  refunded  to the personal care services
      provider. Interest shall be  paid  on  overpayments  from  the  date  of
      overpayment to the date of crediting or refund at the rate determined in
      accordance with paragraph (a) of this subdivision if the overpayment was
      made at the direction of the commissioner of health. Interest under this
      paragraph  shall  not  be  paid  if  the amount thereof is less than one
      dollar.
        8. Funds accumulated, including income from invested funds,  from  the
      assessments specified in this section, including interest and penalties,
      shall  be  deposited  by  the commissioner of health and credited to the
      general fund.
        9. Notwithstanding any inconsistent provision of law or regulation  to
      the  contrary,  the assessments pursuant to this section shall not be an
      allowable cost in the determination of reimbursement rates  pursuant  to
      this article.
        10.  The assessment shall not be collected in excess of twelve million
      dollars from such providers for the period of  January  first,  nineteen
      hundred   ninety-one   through   March  thirty-first,  nineteen  hundred
      ninety-two.  The  amount  of  the  assessment  collected   pursuant   to
      subdivision  two  of  this  section  in excess of twelve million dollars
      shall be refunded to providers by the commissioner of  health  based  on
      the  ratio  which  a  provider's assessment for such period bears to the
      total of the assessments for such period paid by such providers.
        11. Each exclusion of sources of  gross  receipts  received  from  the
      assessments   effective  on  or  after  April  first,  nineteen  hundred
      ninety-two established pursuant to this section shall be contingent upon
      either: (a) qualification of the  assessments  for  waiver  pursuant  to
      federal  law  and  regulation;  or  (b)  consistent with federal law and
      regulation, not requiring a waiver by the secretary of the department of
      health and human services related to such exclusion; in  order  for  the
      assessments  under  this section to be qualified as a broad-based health
      care related tax for purposes of the  revenues  received  by  the  state
    
      pursuant  to  the  assessments  not  reducing the amount expended by the
      state  as  medical  assistance  for  purposes   of   federal   financial
      participation.  The commissioner of health shall collect the assessments
      relying on such exclusions, pending any contrary action by the secretary
      of  the  department  of  health  and  human  services.  In the event the
      secretary of the department of health and human services determines that
      the assessments do not so qualify based on any such exclusion, then  the
      exclusion  shall be deemed to have been null and void as of April first,
      nineteen hundred  ninety-two,  and  the  commissioner  of  health  shall
      collect  any  retroactive  amount  due  as a result, without interest or
      penalty  provided  the  personal  care  services   provider   pays   the
      retroactive   amount   due   within  ninety  days  of  notice  from  the
      commissioner of health to the provider that an  exclusion  is  null  and
      void.  Interest  and  penalties  shall  be measured from the due date of
      ninety days following notice from the  commissioner  of  health  to  the
      provider.