Or. Admin. Code § 410-120-0035 - Public Entity
(1) This rule
pertains to Centers for Medicare and Medicaid (CMS) regulations for payments to
and from the Oregon Health Authority (Authority) and public entities.
(2) Effective July 1, 2008, unit of
government providers responsible by rule or contract for the local match share
portion for claims eligible for Federal Financial Participation (FFP) submitted
to Medicaid for reimbursement must submit the local match payment prior to the
Authority claiming the federal share from CMS:
(a) Before the provider submits its claims to
the Authority, the provider must transfer funds from allowable sources to the
Authority representing the local match share of the total allowable cost for
claimed services;
(b) Upon receipt
of provider's transfer of the local match share and the Authority's receipt of
claims in the Medical Management Information System (MMIS) that are
reimbursable to the extent of the transferred local match share amount, the
Authority will claim FFP from CMS and reimburse the provider for the total
reimbursable allowable claimed amount for the services;
(c) Transfer of the local match share to the
Authority means that the provider certifies that for the purposes of
42 CFR
433.51, the funds it transfers to the
Authority for the local match share are public funds that are not federal
funds, or are federal funds authorized by federal law to be used to match other
federal funds; and that all sources of funds are allowable under 42 CFR 433
Subpart B.
Notes
Stat. Auth.: ORS 413,942
Stats. Implemented: ORS 414.065
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