Arizona Laws 36-2944.01. Removal of medicaid special exemption for payments to program contractors; civil penalty
A. Notwithstanding any other law, beginning on October 1, 2003, each program contractor shall pay to the director of the department of insurance and financial institutions a tax equal to two percent of the total capitation, including reinsurance, and any other reimbursement paid to the program contractor by the administration for persons eligible pursuant to section 36-2931, paragraph 5. The tax shall be paid in four payments pursuant to subsection C of this section and deposited in the state general fund pursuant to sections 35-146 and 35-147.
Terms Used In Arizona Laws 36-2944.01
- Administration: means the Arizona health care cost containment system administration. See Arizona Laws 36-2931
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Department: means the department of economic security. See Arizona Laws 36-2931
- Director: means the director of the Arizona health care cost containment system administration. See Arizona Laws 36-2931
- including: means not limited to and is not a term of exclusion. See Arizona Laws 1-215
- Month: means a calendar month unless otherwise expressed. See Arizona Laws 1-215
- Program contractor: means the department or any other entity that contracts with the administration pursuant to section 36-2940 or 36-2944 to provide services to members pursuant to this article. See Arizona Laws 36-2931
B. The program contractor shall not deduct any disallowance or penalty imposed by the administration pursuant to this chapter from the financial information submitted to the director of the department of insurance and financial institutions.
C. Each program contractor shall file the estimated tax and documentation with the director of the department of insurance and financial institutions on a form prescribed by the director of the department of insurance and financial institutions. A program contractor shall make estimated tax payments to the director of the department of insurance and financial institutions for deposit in the state general fund pursuant to sections 35-146 and 35-147. The tax payments are due on or before September 15, December 15, March 15 and June 15 of each year. The amount of the payments shall be an estimate of the tax due for the quarter that ends in the month that payment is due.
D. On or before April 1, 2004 and annually on or before April 1 thereafter, the director of the department of insurance and financial institutions shall use data provided by the administration to reconcile the amount paid by each program contractor pursuant to this section with the actual amount of title XIX reimbursement made by the administration to the program contractor in the preceding calendar year. If there is a discrepancy in the two amounts, the director of the department of insurance and financial institutions shall notify the program contractor of the difference, provide a notice of right of appeal and bill the program contractor for the unpaid amount of the premium tax or, if there is an overpayment, the director of the department of insurance and financial institutions shall either refund the amount of the overpayment to the contractor or issue a credit for the amount of the overpayment that the program contractor can apply against future tax obligations prescribed by this section.
E. A contractor that fails to file an estimated payment or pay an unpaid premium tax as prescribed by this section is subject to a civil penalty equal to the greater of $25 or five percent of the amount due and is subject to interest on the amount due at the rate of one percent per month from the date the amount was due.
F. From and after December 31, 2017, the director of the department of insurance and financial institutions may require that reports and payments under this section be submitted electronically. If the director requires electronic submission, the director shall include on the department of insurance and financial institution’s official website a list of one or more acceptable methods by which a contractor must submit reports and payments.