CSHB 176(HSS): "An Act relating to medical assistance reimbursement for emergency medical transportation services; and providing for an effective date."
00 CS FOR HOUSE BILL NO. 176(HSS) 01 "An Act relating to medical assistance reimbursement for 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 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 expenses. Under the program, the department shall use intergovernmental transfers, or 14 certified public expenditures, or both, for the nonfederal share of emergency medical
01 transportation services that are eligible for federal financial participation under the 02 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) The department may charge an administrative fee to a provider who 20 participates in the program to cover the department's costs for administering the 21 program. The administrative fee may not exceed 20 percent of a provider's cost for 22 providing emergency medical transportation services. 23 (e) If the United States Department of Health and Human Services revokes 24 approval of the program, the department shall provide notice to the legislature. The 25 department shall submit written notice to the secretary of the senate and the chief clerk 26 of the house of representatives as early as possible after the United States Department 27 of Health and Human Services expresses its intent to revoke approval of the program. 28 (f) Supplemental reimbursement payments are subject to appropriation. 29 (g) In this section, 30 (1) "emergency medical transportation services" includes ground, 31 water, or air transportation services provided to a medical assistance recipient during a
01 medical emergency; 02 (2) "program" means the supplemental reimbursement program 03 developed by the department under this section; 04 (3) "provider" means an eligible emergency medical transportation 05 service provider; 06 (4) "state plan" means the state plan for medical assistance coverage 07 developed under AS 47.07.040. 08 * Sec. 2. The uncodified law of the State of Alaska is amended by adding a new section to 09 read: 10 MEDICAID STATE PLAN AMENDMENT; NOTICE TO REVISOR OF 11 STATUTES. The Department of Health and Social Services shall amend and submit for 12 federal approval a state plan for medical assistance reimbursement consistent with this Act. 13 The commissioner of health and social services shall certify to the revisor of statutes if all of 14 the provisions of AS 47.07.085, enacted by sec. 1 of this Act, are approved by the United 15 States Department of Health and Human Services. 16 * Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to 17 read: 18 CONDITIONAL EFFECT. AS 47.07.085, enacted by sec. 1 of this Act, takes effect 19 only if the commissioner of health and social services certifies to the revisor of statutes under 20 sec. 2 of this Act, on or before November 1, 2018, that all of the provisions added by 21 AS 47.07.085 have been approved by the United States Department of Health and Human 22 Services. 23 * Sec. 4. If AS 47.07.085, enacted by sec. 1 of this Act, takes effect, it takes effect on the 24 day after the date the commissioner of health and social services makes a certification to the 25 revisor of statutes under sec. 2 of this Act.