1. A. Support coordination agencies (SCAs) must submit annual cost reports with a fiscal year from July 1st through June 30th to the department to verify expenditures and to support rate setting for the services rendered to waiver participants.
2. B. Each SCA must complete the LDH approved cost report and submit the cost report(s) to the department no later than November 30th, which is five months after the state’s fiscal year end date (June 30th).
3. C. When the SCA fails to submit the cost report by November 30th, which is five months after the state’s fiscal year end date (June 30th), a penalty of 5 percent of the total monthly payment for the first month and a progressive penalty of 5 percent of the total monthly payment for each succeeding month may be levied and withheld from the SCA’s payment for each month that the cost report is due, not extended and not received. If no claims are submitted for payment during the time of the penalty implementation, the penalty will be imposed when the provider commences submitting claims for payment. The late filing penalty is non-refundable and not subject to an administrative appeal.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Health, Bureau of Health Services Financing and the Office of Aging and Adult Services, LR 50:1843 (December 2024).