Section II
Transportation
241.200
Emergency Medical
Transportation Access Payment
Qualifying medical transportation providers within the State of
Arkansas, except for volunteer ambulance services, ambulance services owned by
the state, county, or political subdivision, air ambulance services, specialty
hospital-based ambulance services, and ambulance services subject to the
state's assessment on the revenue of hospitals shall be eligible to receive
emergency medical transportation access payments. All emergency medical
transportation providers that meet this definition will be referred to as
Qualified Emergency Medical Transportation (QEMT) providers.
The emergency medical transportation access payment to each
QEMT shall be calculated on an annual basis and paid out quarterly. The access
payment shall be comprehensive and will be eighty percent (80%) of the
difference between Medicaid payments otherwise made to QEMTs for the provision
of emergency medical transportation services and the average amount that would
have been paid at the equivalent community rate (hereinafter, average
commercial rate or ACR). Emergency Medical Transportation Access Payments shall
be made on a quarterly basis. View the Administrative Procedures for the
Emergency Medical TransportationAssessment Fee and Access Payment.
View or print form DMS-0600, Initial Medical Transportation
Access Payment Revenue Survey.
View or print form DMS-0601, Emergency Medicaid Transportation
Access Payment Application.
STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
MEDICAL ASSISTANCE PROGRAM
STATE ARKANSAS
ATTACHMENT 4.19-B
Page 8aa
METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES -
OTHER TYPES OF CARE
23. Any
other medical care and any other type of remedial care recognized under State
law, specified by the Secretary.
a.
Transportation (Continued)
(2) Air Ambulance
(continued)
Pediatric Hospitals
1. Helicopter Ambulance: Effective for dates
of service occurring August 15, 2001 and after, helicopter ambulance services
provided by instate pediatric hospitals will be reimbursed based on reasonable
costs with interim payments and year-end cost settlement. Interim payments are
made at the lesser of the amount billed or the Title XIX (Medicaid) charge
allowed. Arkansas Medicaid will use the lesser of the reasonable costs or
customary charges as determined from the hospital's submitted cost report to
establish cost settlements. The cost settlements will be calculated using the
methods and standards used by the Medicare Program. Methods and standards refer
to the allocation of costs on the cost report and do not include any current or
future Medicare reimbursement limits for this particular service.
(3) Emergency Medical
Transportation Access Payment
1. Effective for
dates of service on or after April 1, 2020, qualifying medical transportation
providers within the State of Arkansas; except for volunteer ambulance
services, ambulance services owned by the state or county and political
subdivisions, air ambulance services, specialty hospital based ambulance
services, and ambulance services subject to the state's assessment on the
revenue of hospitals; shall be eligible to receive emergency medical
transportation access payments. All emergency medical transportation providers
that meet this definition will be referred to as Qualified Emergency Medical
Transportation (QEMT) providers for purpose of this section.
2. Payment Methodology
(A) The emergency medical transportation
access payment to each QEMT shall be calculated on an annual basis and paid out
quarterly. The access payment will be eighty percent (80%) of the difference
between Medicaid payments otherwise made to QEMTs for the provision of
emergency medical transportation services and the average amount that would
have been paid at the equivalent community rate (hereinafter, average
commercial rate or ACR).
(1) The Division
shall align the paid Medicaid claims for each QEMT with the Medicare fees
(Medicare Fee Schedule - Urban) for each healthcare common procedure coding
system (HCPCS) or current procedure terminology (CPT) code and calculate the
Medicare payment for those claims.
Notes
016.29.22 Ark. Code
R. 005
Adopted by
Arkansas
Register Volume 47 Number 06, Effective
6/4/2022
