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| 1 |  | nursing homes directed and
maintained pursuant to Section  | 
| 2 |  | 5-1005 of the Counties Code may meet their
assessment  | 
| 3 |  | obligation by certifying to the Illinois Department that county
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| 4 |  | expenditures have been obligated for the operation of the  | 
| 5 |  | county nursing
home in an amount at least equal to the amount  | 
| 6 |  | of the assessment.
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| 7 |  |     (a-5) The Illinois Department shall provide for an  | 
| 8 |  | electronic submission process for each long-term care facility  | 
| 9 |  | to report at a minimum the number of occupied bed days of the  | 
| 10 |  | long-term care facility for the reporting period and other  | 
| 11 |  | reasonable information the Illinois Department requires for  | 
| 12 |  | the administration of its responsibilities under this Code.  | 
| 13 |  | Beginning July 1, 2013, a separate electronic submission shall  | 
| 14 |  | be completed for each long-term care facility in this State  | 
| 15 |  | operated by a long-term care provider. The Illinois Department  | 
| 16 |  | shall prepare an assessment bill stating the amount due and  | 
| 17 |  | payable each month and submit it to each long-term care  | 
| 18 |  | facility via an electronic process. Each assessment payment  | 
| 19 |  | shall be accompanied by a copy of the assessment bill sent to  | 
| 20 |  | the long-term care facility by the Illinois Department. To the  | 
| 21 |  | extent practicable, the Department shall coordinate the  | 
| 22 |  | assessment reporting requirements with other reporting  | 
| 23 |  | required of long-term care facilities. | 
| 24 |  |     (b) The Illinois Department is authorized to establish
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| 25 |  | delayed payment schedules for long-term care providers that are
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| 26 |  | unable to make assessment payments when due under this Section
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| 1 |  | due to financial difficulties, as determined by the Illinois
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| 2 |  | Department. The Illinois Department may not deny a request for  | 
| 3 |  | delay of payment of the assessment imposed under this Article  | 
| 4 |  | if the long-term care provider has not been paid for services  | 
| 5 |  | provided during the month on which the assessment is levied or  | 
| 6 |  | the Medicaid managed care organization has not been paid by the  | 
| 7 |  | State. 
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| 8 |  |     (c) If a long-term care provider fails to pay the full
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| 9 |  | amount of an assessment payment when due (including any  | 
| 10 |  | extensions
granted under subsection (b)), there shall, unless  | 
| 11 |  | waived by the
Illinois Department for reasonable cause, be  | 
| 12 |  | added to the
assessment imposed by Section 5B-2 a
penalty  | 
| 13 |  | assessment equal to the lesser of (i) 5% of the amount of
the  | 
| 14 |  | assessment payment not paid on or before the due date plus 5%  | 
| 15 |  | of the
portion thereof remaining unpaid on the last day of each  | 
| 16 |  | month
thereafter or (ii) 100% of the assessment payment amount  | 
| 17 |  | not paid on or
before the due date.  For purposes of this  | 
| 18 |  | subsection, payments
will be credited first to unpaid  | 
| 19 |  | assessment payment amounts (rather than
to penalty or  | 
| 20 |  | interest), beginning with the most delinquent assessment  | 
| 21 |  | payments. Payment cycles of longer than 60 days shall be one  | 
| 22 |  | factor the Director takes into account in granting a waiver  | 
| 23 |  | under this Section. 
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| 24 |  |     (c-5) If a long-term care facility fails to file its  | 
| 25 |  | assessment bill with payment, there shall, unless waived by the  | 
| 26 |  | Illinois Department for reasonable cause, be added to the  | 
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| 1 |  | assessment due a penalty assessment equal to 25% of the  | 
| 2 |  | assessment due. After July 1, 2013, no penalty shall be  | 
| 3 |  | assessed under this Section if the Illinois Department does not  | 
| 4 |  | provide a process for the electronic submission of the  | 
| 5 |  | information required by subsection (a-5).  | 
| 6 |  |     (d) Nothing in this amendatory Act of 1993 shall be  | 
| 7 |  | construed to prevent
the Illinois Department from collecting  | 
| 8 |  | all amounts due under this Article
pursuant to an assessment  | 
| 9 |  | imposed before the effective date of this amendatory
Act of  | 
| 10 |  | 1993.
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| 11 |  |     (e) Nothing in this amendatory Act of the 96th General  | 
| 12 |  | Assembly shall be construed to prevent
the Illinois Department  | 
| 13 |  | from collecting all amounts due under this Code
pursuant to an  | 
| 14 |  | assessment, tax, fee, or penalty imposed before the effective  | 
| 15 |  | date of this amendatory
Act of the 96th General Assembly.  | 
| 16 |  |     (f) No installment of the  assessment imposed by Section  | 
| 17 |  | 5B-2 shall be due and payable until after the Department  | 
| 18 |  | notifies the long-term care providers, in writing, that the  | 
| 19 |  | payment methodologies to long-term care providers required  | 
| 20 |  | under Section 5-5.4 of this Code have been approved by the  | 
| 21 |  | Centers for Medicare and Medicaid Services of the U.S.  | 
| 22 |  | Department of Health and Human Services and the waivers under  | 
| 23 |  | 42 CFR 433.68 for the assessment imposed by this Section, if  | 
| 24 |  | necessary, have been granted by the Centers for Medicare and  | 
| 25 |  | Medicaid Services of the U.S. Department of Health and Human  | 
| 26 |  | Services. Upon notification to the Department of approval of  | 
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| 1 |  | the payment methodologies required under Section 5-5.4 of this  | 
| 2 |  | Code and the waivers granted under 42 CFR 433.68, all  | 
| 3 |  | installments otherwise due under Section 5B-4 prior to the date  | 
| 4 |  | of notification shall be due and payable to the Department upon  | 
| 5 |  | written direction from the Department within 90 days after  | 
| 6 |  | issuance by the Comptroller of the payments required under  | 
| 7 |  | Section 5-5.4 of this Code.  | 
| 8 |  | (Source: P.A. 96-444, eff. 8-14-09; 96-1530, eff. 2-16-11;  | 
| 9 |  | 97-10, eff. 6-14-11; 97-403, eff. 1-1-12; 97-584, eff. 8-26-11;  | 
| 10 |  | 97-813, eff. 7-13-12.)".
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