N.J. Admin. Code § 8:31A-3.1

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:31A-3.1 - Annual report

(a) Each covered facility shall submit an annual report to the Department in hardcopy or on an electronic standardized Department form.

(b) The content and format of the annual report for covered facilities is available upon request to the Ambulatory Care Facility Assessment Unit at PO Box 358, Trenton, NJ 08625-0360, telephone (609) 913-5791 and from the Department's forms page at http://nj.gov/health/forms . Instructions on how to submit the electronic standardized Department form may be found at http://dohlicensing.nj.gov/helphfel5 .

(c) The annual report shall be either certified or attested to by an accounting firm or by an officer of the covered facility.

(d) The annual report may include the charges, gross receipts and number of visits for which the covered facility provided reduced or no-fee care to patients based upon ability to pay and shall include the following:

1. Total volume of patient visits by payer type;

2. Charges by payer type; and

3. Gross receipts broken down by payer type into the following categories:

i. Medicare (fee-for-service and HMO);

ii. Medicaid (fee-for-service and HMO);

iii. Commercial (fee-for-service and HMO);

iv. Other government payer; and

v. Self-pay.

(e) Covered facilities shall submit an annual report for the calendar year preceding the State fiscal year to the Department, in care of the Ambulatory Care Facility Assessment Unit, by no later than May 31 preceding the start of the State fiscal year.

1. Facilities failing to provide annual reports by June 30 preceding the start of the State fiscal year shall pay the maximum assessment of $ 350,000 for the State fiscal year.

(f) Annual reports mailed shall be submitted to the following address: New Jersey Department of Health, Office of Health Care Financing, Ambulatory Care Facility Assessment Unit, PO Box 358, Trenton, NJ 08625-0358, telephone (609) 913-5791.

(g) Annual reports hand delivered shall be submitted to the following address: New Jersey Department of Health, Office of Health Care Financing, Ambulatory Care Facility Assessment Unit, 55 North Willow Street, 5th Floor, Room 5015, Trenton, NJ 08608, telephone (609) 913-5791.

N.J. Admin. Code § 8:31A-3.1

Administrative change.
See: 38 N.J.R. 4219(a).

Amended by 54 N.J.R. 1299(a), effective 7/5/2022