HB 176: "An Act relating to medical assistance reimbursement for ground emergency medical transportation services; and providing for an effective date."
00 HOUSE BILL NO. 176 01 "An Act relating to medical assistance reimbursement for ground emergency medical 02 transportation services; and providing for an effective date." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 04 * Section 1. AS 47.07 is amended by adding a new section to read: 05 Sec. 47.07.085. Supplemental reimbursement for ground emergency 06 medical transportation services. (a) The department shall develop a program to 07 provide supplemental reimbursement to eligible ground emergency medical 08 transportation service providers for the cost of providing services to medical assistance 09 recipients. The amount of the supplemental reimbursement must be equal to the 10 amount of federal financial participation that the department receives as 11 reimbursement for the provider's cost for the ground emergency medical transportation 12 services, less any administrative expenses. Under the program, the department shall 13 use intergovernmental transfers, or certified public expenditures, or both, for the 14 nonfederal share of ground emergency medical transportation services that are eligible
01 for federal financial participation under the medical assistance program. 02 (b) The amount a provider receives in supplemental reimbursements under the 03 program, when combined with the amount the provider receives from all other 04 sources, including medical assistance reimbursement under the state plan, may not 05 exceed the provider's actual cost for providing ground emergency medical 06 transportation services to medical assistance recipients. 07 (c) A ground emergency medical transportation service provider is eligible to 08 participate in the program if the provider 09 (1) is enrolled with the department as a medical assistance provider; 10 (2) voluntarily enters into an agreement with the department to 11 participate in the program; 12 (3) is owned or operated by the state, a political subdivision of the 13 state, or a federally recognized tribe or tribal organization; 14 (4) charges for ground emergency medical transportation services on a 15 fee-for-service or other federally permissible basis; and 16 (5) certifies that the provider's expenditures for ground emergency 17 medical transportation services qualify for federal financial participation. 18 (d) The department may charge an administrative fee to a provider who 19 participates in the program to cover the department's costs for administering the 20 program. The administrative fee may not exceed 20 percent of a provider's cost for 21 providing ground emergency medical transportation services. 22 (e) If the United States Department of Health and Human Services revokes 23 approval of the program, the department shall provide notice to the legislature. The 24 department shall submit written notice to the secretary of the senate and the chief clerk 25 of the house of representatives as early as possible after the United States Department 26 of Health and Human Services expresses its intent to revoke approval of the program. 27 (f) Supplemental reimbursement payments are subject to appropriation. 28 (g) In this section, 29 (1) "program" means the supplemental reimbursement program 30 developed by the department under this section; 31 (2) "provider" means an eligible ground emergency medical
01 transportation service provider; 02 (3) "state plan" means the state plan for medical assistance coverage 03 developed under AS 47.07.040. 04 * Sec. 2. The uncodified law of the State of Alaska is amended by adding a new section to 05 read: 06 MEDICAID STATE PLAN AMENDMENT; NOTICE TO REVISOR OF 07 STATUTES. The Department of Health and Social Services shall amend and submit for 08 federal approval a state plan for medical assistance reimbursement consistent with this Act. 09 The commissioner of health and social services shall certify to the revisor of statutes if all of 10 the provisions of AS 47.07.085, enacted by sec. 1 of this Act, are approved by the United 11 States Department of Health and Human Services. 12 * Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to 13 read: 14 CONDITIONAL EFFECT. AS 47.07.085, enacted by sec. 1 of this Act, takes effect 15 only if the commissioner of health and social services certifies to the revisor of statutes under 16 sec. 2 of this Act, on or before November 1, 2018, that all of the provisions added by 17 AS 47.07.085 have been approved by the United States Department of Health and Human 18 Services. 19 * Sec. 4. If AS 47.07.085, enacted by sec. 1 of this Act, takes effect, it takes effect on the 20 day after the date the commissioner of health and social services makes a certification to the 21 revisor of statutes under sec. 2 of this Act.