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DP153ES Medicaid Enhancement Tax Payment Nonbinding EstimateINSTRUCTIONS Who Must File Hospitals as defined in RSA 84A:1, are required to file a nonbinding estimate of its projected tax payment. When

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How to fill out dp-153-es medicaid enhancement tax

01

To fill out the DP-153-ES Medicaid Enhancement Tax form, follow these steps:

02

Start by entering your personal information, such as your full name, address, and contact information.

03

Next, provide your Medicaid Provider number, which can be obtained from your Medicaid Provider Enrollment Verification letter.

04

Indicate the period for which you are filing the tax by specifying the start and end dates.

05

Calculate the total taxable patient service revenue by adding up all the patient service revenue received during the specified period.

06

Determine the Medicaid Enhancement Tax base by subtracting any applicable exemptions or deductions from the total taxable patient service revenue.

07

Apply the Medicaid Enhancement Tax rate to the tax base to calculate the actual amount of tax owed.

08

Double-check all the information provided and make sure it is accurate and complete.

09

Sign and date the form.

10

Submit the completed DP-153-ES form along with any required supporting documents to the appropriate tax authority.

Who needs dp-153-es medicaid enhancement tax?

01

The DP-153-ES Medicaid Enhancement Tax is required to be filled out by healthcare providers who participate in the Medicaid program and have generated taxable patient service revenue during the specified period. This tax is used to fund the Medicaid program and ensure its sustainability. It is important for healthcare providers to accurately report and pay the Medicaid Enhancement Tax to comply with the legal obligations and support the continued availability of Medicaid services.

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What is dp-153-es medicaid enhancement tax?

dp-153-es medicaid enhancement tax is a tax imposed on certain healthcare providers to help fund the Medicaid program in a specific state.

Who is required to file dp-153-es medicaid enhancement tax?

Healthcare providers who meet the criteria set by the state are required to file dp-153-es medicaid enhancement tax.

How to fill out dp-153-es medicaid enhancement tax?

To fill out dp-153-es medicaid enhancement tax, providers need to gather information on their patient services and revenue, and then complete the required forms provided by the state.

What is the purpose of dp-153-es medicaid enhancement tax?

The purpose of dp-153-es medicaid enhancement tax is to help finance the Medicaid program and ensure that healthcare services are provided to low-income individuals.

What information must be reported on dp-153-es medicaid enhancement tax?

Providers must report patient services revenue, adjustments, payments, and other relevant financial information on dp-153-es medicaid enhancement tax.

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