Client Alerts

9 04, 2018

DCH Releases Updated Pharmacy Services Provider Manual with New Requirements for 340B Claims

2018-04-20T14:34:47+00:00 April 9th, 2018|Client Alert|

Recently, the Department of Community Health (DCH) published an updated Pharmacy Services Provider Manual with additional billing instructions for all 340B drug claims. DCH used this update to consolidate prior guidance and provide additional information on 340B Program participation and prevention of duplicate discounts. For 340B Outpatient Pharmacy (Retail Pharmacy) Claims, DCH now requires [...]

30 03, 2018

Low Volume Hospital Payment Adjustments for FFY 2018

2018-03-30T12:49:03+00:00 March 30th, 2018|Client Alert|

The Bipartisan Budget Act of 2018 extends the relaxed qualifying criteria for the low volume hospital payment adjustment through September 30, 2018.  Under the relaxed criteria, the payment increases are applicable for hospitals that have less than 1,600 Medicare discharges (including traditional and Medicare Advantage) and are located more than 15 road miles from [...]

20 03, 2018

DCH to require claim-level modifiers for 340B drug claims starting July 1, 2018

2018-03-20T15:06:33+00:00 March 20th, 2018|340B Newsletter, Client Alert|

Recently, the Department of Community Health (DCH) released billing instructions for Hospital 340B drug claims submission effective July 1, 2018.  This change means that the Medicaid Exclusion File will no longer be exclusively used by DCH to prevent duplicate discounts, one of the statutory requirements of the 340B Program. Here is what you need [...]

14 03, 2018

SFY 2018 Nursing Home UPL Payments

2018-03-14T12:00:00+00:00 March 14th, 2018|Client Alert|

In a memorandum dated March 12, 2018, from John Upchurch, the Georgia Department of Community Health (DCH) communicated the process of the State Fiscal Year 2018 Nursing Home Upper Payment Limit (UPL) payments for the 1st through 3rd quarters.  The transfer amounts and gross nursing home UPL funds are available on the DCH website:  [...]

16 02, 2018

Expansion of the Medicaid Physician UPL Supplemental Payment Program

2018-02-16T21:14:45+00:00 February 16th, 2018|Client Alert|

In a memorandum dated January 25, 2018, from John Upchurch, the Georgia Department of Community Health (DCH) announced it is seeking approval from the Centers for Medicare and Medicaid Services (CMS) to expand the Physician UPL program to include the following: All physician practices affiliated with a public teaching hospital enrolled in Georgia Medicaid. [...]

19 01, 2018

Changes to Unrelated Business Income Tax Under the Tax Cuts and Jobs Act

2018-01-23T16:34:07+00:00 January 19th, 2018|Client Alert|

Organizations subject to Unrelated Business Income (UBI) Tax at corporate rates will now pay a flat tax rate of 21%. However, for taxable years beginning after December 31, 2017 multiple UBI activities can no longer be aggregated.  Instead, the income or loss from each activity is separately calculated and loss activities can no longer [...]

10 01, 2018

Rural Hospital Tax Credit Program Annual Hospital Report

2018-01-10T14:55:25+00:00 January 10th, 2018|Client Alert|

The last step for hospitals receiving calendar year 2017 Tax Credit donations is an annual report to the State.  The 2017 Rural Hospital Tax Credit Donation and Expenditure Report must be submitted to the Georgia Department of Community Health no later than February 1, 2018. The form is available at the following website: https://dch.georgia.gov/rural-hospital-tax-credit. [...]

4 01, 2018

Hospice Cap Changes

2018-01-04T19:52:19+00:00 January 4th, 2018|Client Alert|

The fiscal year (FY) 2016 Hospice Wage Index and Payment Rate Update final rule included a change to align the inpatient and aggregate cap accounting year with the federal fiscal year of September 30 beginning in FY 2017.  This change moves the due date to file a self-determined inpatient and aggregate cap determination from [...]