7 AAC 145.790 - SEMT administrative fee

(a) The provider must pay the department an administrative fee to cover the cost of the SEMT program.

(b) The fee is equal to the state general fund cost to the department to administer the SEMT program. The department will use the fee to pay the required state match for federal funding.

(c) The fee is a flat fee per Medicaid emergency medical transports for the service period in the cost reports submitted during the time period preceding the June 15 due date of the fee.

(d) The department will establish the administrative fee as follows:

(1) the first administrative fee per Medicaid emergency medical transport is the state general fund cost of the SEMT program starting from until the following March 31 after the first SEMT cost {effective date of regulations} reports are submitted to the department, divided by the number of SEMT Medicaid emergency medical transports that is obtained from the Medicaid Management Information System (MMIS), described in 42 C.F.R. 433.111(b), as determined after the cost report submission for the SEMT providers for the service period matching the cost reports submitted during the same time period as the state general fund costs;

(2) in subsequent years, the administrative fee is the state general fund cost of the SEMT program during the most recent April 1 through March 31, divided by the number of SEMT Medicaid emergency medical transports that is obtained from the Medicaid Management Information System (MMIS), as determined after the cost report submission for the SEMT providers for the service period matching the cost reports submitted during the same time period as the state general fund costs.

(e) The fee is due for each participating provider on or before June 15 of each year that the provider participates.

Notes

7 AAC 145.790

Eff. 10/9/2021, Register 240, January 2022

Authority:AS 47.05.010

AS 47.07.040

AS 47.07.085