Enrolled HB 176: Relating to medical assistance reimbursement for emergency medical transportation services; and providing for an effective date.
00Enrolled HB 176 01 Relating to medical assistance reimbursement for emergency medical transportation services; 02 and providing for an effective date. 03 _______________ 04 * Section 1. AS 47.07 is amended by adding a new section to read: 05 Sec. 47.07.085. Supplemental reimbursement for emergency medical 06 transportation services. (a) The department shall develop a program to provide 07 supplemental reimbursement to eligible emergency medical transportation service 08 providers for the cost of providing services to medical assistance recipients. Except as 09 provided in (b) of this section, the amount of the supplemental reimbursement paid to 10 a provider must be equal to the amount of federal financial participation that the 11 department receives for the nonfederal matching funds paid by the provider through 12 intergovernmental transfers or certified public expenditures, less any administrative 13 fee described in (d) or (e) of this section. Under the program, the department shall use 14 intergovernmental transfers, or certified public expenditures, or both, for the
01 nonfederal share of emergency medical transportation services that are eligible for 02 federal financial participation under the medical assistance program. 03 (b) The amount a provider receives in supplemental reimbursements under the 04 program, when combined with the amount the provider receives from all other 05 sources, including medical assistance reimbursement under the state plan, may not 06 exceed the provider's actual cost for providing emergency medical transportation 07 services to medical assistance recipients. 08 (c) An emergency medical transportation service provider is eligible to 09 participate in the program if the provider 10 (1) is enrolled with the department as a medical assistance provider; 11 (2) voluntarily enters into an agreement with the department to 12 participate in the program; 13 (3) is owned or operated by the state, a political subdivision of the 14 state, or a federally recognized tribe or tribal organization; 15 (4) charges for emergency medical transportation services on a fee-for- 16 service or other federally permissible basis; and 17 (5) certifies that the provider's expenditures for emergency medical 18 transportation services qualify for federal financial participation. 19 (d) If the department authorizes the use of intergovernmental transfers under 20 the program, the department shall charge an administrative fee to a provider to cover 21 the department's costs of administering the program. The administrative fee may not 22 exceed 20 percent of the nonfederal share the provider pays to the department. A 23 provider may include the administrative fee in the provider's cost for providing an 24 emergency medical transportation service to a medical assistance recipient. 25 (e) If the department authorizes the use of certified public expenditures under 26 the program, the department may establish an administrative fee for a provider. If the 27 department establishes an administrative fee under this subsection, the department 28 may allow a provider to include the administrative fee in the provider's cost for 29 providing an emergency medical transportation service to a medical assistance 30 recipient. 31 (f) This section authorizes the department to provide supplemental
01 reimbursements to a ground, water, or air emergency medical transportation service 02 provider only if the United States Department of Health and Human Services approves 03 payments to that type of emergency medical transportation service provider. 04 (g) If the United States Department of Health and Human Services revokes 05 approval of the program, the department shall provide notice to the legislature. The 06 department shall submit written notice to the secretary of the senate and the chief clerk 07 of the house of representatives as early as possible after the United States Department 08 of Health and Human Services expresses its intent to revoke approval of the program. 09 (h) Supplemental reimbursement payments are subject to appropriation. 10 (i) In this section, 11 (1) "program" means the supplemental reimbursement program 12 developed by the department under this section; 13 (2) "provider" means an eligible emergency medical transportation 14 service provider; 15 (3) "state plan" means the state plan for medical assistance coverage 16 developed under AS 47.07.040. 17 * Sec. 2. This Act takes effect immediately under AS 01.10.070(c).