This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:45 GMT
(a) DADS will assess a financial penalty against a facility that:(1) fails to timely file the monthly facility report required under §11.4 of this chapter (relating to Required Reports);(2) files a false, erroneous, or fraudulent monthly facility report that DADS concludes resulted in the assessment of a quality assurance fee that is less than the facility should have been assessed; or(3) fails to timely pay a quality assurance fee assessed under §11.5 of this chapter (relating to Payment and Collection of Quality Assurance Fee).(b) A penalty assessed under this section is an amount equal to one-fourth the amount of the quality assurance fee for each month the quality assurance fee is late, not reported or unpaid.(c) DADS will notify a facility in writing of the assessment of a penalty under this section and the amount of the penalty.(d) DADS may make a referral to an appropriate authority in cases where it makes a good faith determination that a facility has:(1) committed fraud in the submission of information to DADS;(2) willfully submitted erroneous information to DADS; or(3) violated a requirement of its license or Medicaid certification.(e) DADS may suspend payments to a facility that fails to pay or report the quality assurance fee.(f) The assessment of a penalty under this section does not relieve a facility from:(1) providing services to residents in accordance with its obligations under contract or the law;(2) paying additional quality assurance fees that may be assessed to the facility; or(3) otherwise complying with licensure and certification requirements.