Kentucky Revised Statutes Title XVII. Economic Security and Public Welfare § 205.5604.Department for Medicaid Services to submit Medicaid preprint to establish supplemental payment program for public ground ambulance providers; administration of program; funding; eligibility

1. Establish and administer the program to provide state-directed Medicaid payments to eligible public ground ambulance providers for services provided under the managed care component of the Medicaid program;

2. Operate the supplemental payment program described in this section separately from the assessment and directed payment program established under KRS 142.318, 205.5601, 205.5602, and 205.5603;

3. Utilize a cost report to determine the average cost per transport, which shall be used in the upper payment limit calculation for the Medicaid managed care-directed payments;

4. Establish a cost-based payment methodology in accordance with the Centers for Medicare and Medicaid Services' rules and regulations; and

5. Promulgate administrative regulations necessary to carry out this section.

1. Be provided by public ground ambulance providers participating in the supplemental payment program via intergovernmental transfers or similar government fund transfers; and

2. Include a total of two hundred thousand dollars ($200,000) annually that shall be retained by the department to offset administrative expenses related to the supplemental payment program for public ground ambulance providers. Each participating public ground ambulance provider shall be responsible for a percentage of the administrative fee retained by the department under this subparagraph equal to the percentage of the total number of qualifying ambulance runs a participating public ground ambulance provider made during the previous year.

1. Be separate from the assessment authorized under KRS 205.6406;

2. Not be from the state general fund; and

3. Comply with the requirements of the Centers for Medicare and Medicaid Services.

1. Be separate from the assessment authorized under KRS 142.318;

2. Not be from the state general fund; and

3. Comply with the requirements of the Centers for Medicare and Medicaid Services.