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OCA board adopts phased penalties for late data submissions, with public urging for tougher fines
Summary
The board approved a phased enforcement framework for late data submissions that includes flat untimely penalties and escalating per‑member fines, while public commenters urged steeper, size‑based penalties and discretionary corrective action plans.
The Office of Health Care Affordability board voted to adopt a phased enforcement process for late or incomplete data submissions on health plan and provider reporting, approving a structure staff designed in response to board and stakeholder feedback.
Under the adopted framework, data submitters face an initial flat ‘‘untimely’’ penalty if they miss the September 1 filing deadline and any optional extensions. Staff outlined a progressive structure: a $10,000 untimely penalty followed by a $50,000 untimely penalty if missed windows persist; a per‑member failure‑to‑submit penalty that starts at $5 per member on Dec. 1 and…
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