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Health Insurance Claims Assessment (HICA) Act
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As a nonprofit dental care corporation, we contract to administer dental services to Medicaid beneficiaries through outside providers, and we are billed by and pay directly to these providers. Are we subject to the Health Insurance Claims Assessment (HICA)?
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Answer:
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Yes. Nonprofit dental care corporations are specifically included in the definition of "carrier" under section 2(a)(iii). Therefore, all "paid claims" made by these organizations will be subject to the assessment.
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