00 Enrolled HB 176
01 Relating to medical assistance reimbursement for emergency medical transportation services;
02 and providing for an effective date.
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
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).