CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER G—STANDARDS AND CERTIFICATION (parts 482 to 498) > PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES > SUBPART F—Enforcement of Compliance for Long-Term Care Facilities with Deficiencies (§488.400 to §488.456) > 488.442—Civil money penalties: Due date for payment of penalty.

488.442—Civil money penalties: Due date for payment of penalty.

(a) When payments are due for a civil money penalty imposed on a per day basis— (1) After a final administrative decision. A civil money penalty payment is due 15 days after a final administrative decision is made when—
(i) The facility achieves substantial compliance before the final administrative decision; or
(ii) The effective date of termination occurs before the final administrative decision.
(2) When no hearing was requested. A civil money penalty payment is due 15 days after the time period for requesting a hearing has expired and a hearing request was not received when—
(i) The facility achieved substantial compliance before the hearing request was due; or
(ii) The effective date of termination occurs before the hearing request was due.
(3) After a request to waive a hearing. A civil money penalty payment is due 15 days after receipt of the written request to waive a hearing when—
(i) The facility achieved substantial compliance before CMS or the State received the written waiver of hearing; or
(ii) The effective date of termination occurs before CMS or the State received the written waiver of hearing.
(4) After substantial compliance is achieved. A civil money penalty payment is due 15 days after substantial compliance is achieved when—
(i) The final administrative decision is made before the facility came into substantial compliance;
(ii) The facility did not file a timely hearing request before it came into substantial compliance; or
(iii) The facility waived its right to a hearing before it came into substantial compliance;
(5) After the effective date of termination. A civil money penalty payment is due 15 days after the effective date of termination, if before the effective date of termination—
(i) The final administrative decision was made;
(ii) The time for requesting a hearing has expired and the facility did not request a hearing; or
(iii) The facility waived its right to a hearing.
(6) In the cases specified in paragraph (a)(4) of this section, the period of noncompliance may not extend beyond 6 months from the last day of the survey.
(b) When payments are due for a civil money penalty imposed for an instance of noncompliance. Payment of a civil money penalty is due 15 days after one of the following dates:
(1) The final administrative decision is made;
(2) The time for requesting a hearing has expired and the facility did not request a hearing; or
(3) The facility waived its right to a hearing.
(c) Deduction of penalty from amount owed. The amount of the penalty, when determined, may be deducted from any sum then or later owing by CMS or the State to the facility.
(d) Interest— (1) Assessment. Interest is assessed on the unpaid balance of the penalty, beginning on the due date.
(2) Medicare interest. Medicare rate of interest is the higher of—
(i) The rate fixed by the Secretary of the Treasury after taking into consideration private consumer rates of interest prevailing on the date of the notice of the penalty amount due (published quarterly in the Federal Register by HHS under 45 CFR 30.13(a) ); or
(ii) The current value of funds (published annually in the Federal Register by the Secretary of the Treasury, subject to quarterly revisions).
(3) Medicaid interest. The interest rate for Medicaid is determined by the State.
(e) Penalties collected by CMS. Civil money penalties and corresponding interest collected by CMS from—
(1) Medicare-participating facilities are deposited as miscellaneous receipts of the United States Treasury; and
(2) Medicaid-participating facilities are returned to the State.
(f) Collection from dually participating facilities. Civil money penalties collected from dually participating facilities are deposited as miscellaneous receipts of the United States Treasury and returned to the State in proportion commensurate with the relative proportions of Medicare and Medicaid beds at the facility actually in use by residents covered by the respective programs on the date the civil money penalty begins to accrue.
(g) Penalties collected by the State. Civil money penalties collected by the State must be applied to the protection of the health or property of residents of facilities that the State or CMS finds noncompliant, such as—
(1) Payment for the cost of relocating residents to other facilities;
(2) State costs related to the operation of a facility pending correction of deficiencies or closure; and
(3) Reimbursement of residents for personal funds or property lost at a facility as a result of actions by the facility or by individuals used by the facility to provide services to residents.
[59 FR 56243, Nov. 10, 1994; 60 FR 50119, Sept. 28, 1995, as amended at 64 FR 13361, Mar. 18, 1999]