Utah Admin. Code R414-507-6 - Penalties and Interest
(1) If Medicaid
audits a ground ambulance provider's records to determine the correct
transports for the assessment and determines the provider failed to accurately
report correct transports, Medicaid shall fine the provider 5% of the
provider's annual calculated assessment. The fine is payable within 30 days of
invoice.
(2)
(a) If a ground ambulance provider fails to
fully pay that provider's assessment on or before the due date, Medicaid shall
fine the provider 5% of the provider's quarterly calculated assessment. The
fine is payable within 30 days of invoice.
(b) The department shall suspend Medicaid
payments to a ground ambulance provider until the provider pays the assessment
and fine due in full or until the provider and the department reach a
negotiated settlement.
(3) If a Medicaid-enrolled ground ambulance
provider fails to submit reporting required in Rule R911-8, Medicaid may
suspend payment until the provider submits the reporting.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) If DMHF audits a ground ambulance provider's records to determine the correct transports for the assessment, DMHF shall fine the ground ambulance provider five percent of its annual calculated assessment. The fine is payable within 30 days of invoice.
(2) If a ground ambulance provider fails to fully pay its assessment on or before the due date, DMHF shall fine the provider five percent of its quarterly calculated assessment. The fine is payable within 30 days of invoice. The Department shall suspend all Medicaid payments to a ground ambulance provider until the provider pays the assessment and fine due in full or until the provider and the Department reach a negotiated settlement.