| (B) The declaration of intent is certified to the best
knowledge and belief of a person legally authorized to sign for the
sponsoring governmental entity but does not bind the sponsoring governmental
entity to transfer IGT.
(3) HHSC will issue an IGT notification to specify
the date that IGT is requested to be transferred no fewer than 14
business days before IGT transfers are due. HHSC will instruct sponsoring
governmental entities as to the IGT amounts necessary to fund the
program at estimated levels. IGT amounts will include the non-federal
share of all costs associated with the provider rate increase, including
costs associated with MCO (Capitation) premium taxes, risk margin,
and administration, plus 10 percent.
(4) Sponsoring governmental entities will transfer
the first half of the IGT amount by a date determined by HHSC, but
no later than June 1. Sponsoring governmental entities will transfer
the second half of the IGT amount by a date determined by HHSC, but
no later than December 1. HHSC will publish the IGT deadlines and
all associated dates on its Internet website by March 15 of each year.
(k) Effective date of rate and dollar reimbursement
increases. HHSC will direct MCOs to increase reimbursements under
this section beginning the first day of the program period that includes
the increased capitation rates paid by HHSC to each MCO pursuant to
the contract between them.
(l) Changes in operation. If an enrolled provider closes
voluntarily or ceases to provide Medicaid services, the provider must
notify the HHSC Provider Finance Department by electronic mail to
an address designated by HHSC, by hand delivery, United States (U.S.)
mail, or special mail delivery within 10 business days of closing
or ceasing to provide Medicaid services. Notification is considered
to have occurred when HHSC Provider Finance Department receives the
notice.
(m) Reconciliation. HHSC will reconcile the amount
of the non-federal funds actually expended under this section during
each program period with the amount of funds transferred to HHSC by
the sponsoring governmental entities for that same period using the
methodology described in §353.1301(g) of this subchapter.
(n) Recoupment. Payments under this section may be
subject to recoupment as described in §353.1301(j) - (k) of this
subchapter.
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