Utah Admin. Code R414-507-3 - Change in Ground Ambulance Provider Status

(1)

(a) If a ground ambulance provider's status changes during any given quarter and no longer falls under the definition of a ground ambulance provider subject to the assessment set forth under Title 26B, Chapter 3, Part 8, Ambulance Service Provider Assessment, or is no longer entitled to Medicaid ground ambulance provider payments within 30 days of the change in status, the provider shall submit a written notice of the status change and the effective date to the Reimbursement Unit.

(b) The provider shall mail the notice to the correct address, as outlined in Subsection (d).

(c) The notice shall only be considered effective upon the Reimbursement Unit's timely receipt of the notice.

(d)

(i) The Reimbursement Unit's mailing address via the United States Postal Service is:

Utah Medicaid

Attn: Reimbursement Unit

P.O. Box 143325

Salt Lake City, UT 84114-3325

(ii) The Reimbursement Unit's mailing address via United Parcel Service, Federal Express, or similar is:

Utah Medicaid

Attn: Reimbursement Unit

288 North 1460 West

Salt Lake City, UT 84116-3231

(2) For any quarter when a ground ambulance provider is no longer subject to the assessment and notice has been given under Subsection (1):

(a) the department shall require payment of the assessment from that ground ambulance provider for the full quarter in which the status change occurred; and

(b) the ground ambulance provider shall be exempt from future assessment in the quarter immediately following the quarter when the status changed.

Notes

Utah Admin. Code R414-507-3

Adopted by Utah State Bulletin Number 2015-14, effective 7/1/2015 Amended by Utah State Bulletin Number 2025-10, effective 5/8/2025