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Florida Administrative Code (Last Updated: April 18, 2024) |
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59. Agency for Health Care Administration |
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59G. Medicaid |
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59G-6. Reimbursement To Providers |
1(1) This rule applies to all publicly owned or operated emergency transportation services providers rendering Florida Medicaid emergency transportation services to recipients under the fee-for-service delivery system.
28(2) Providers must submit AHCA Form 5000-0035, May 2017, Emergency Medical Transportation Integrated Disclosure and Medicaid Cost Report General Information, incorporated by reference, and available at 54http://ahca.myflorida.com/Medicaid/Finance/finance/LIP-DSH/PEMT/index.shtml, 55and at 57https://www.flrules.org/Gateway/reference.asp?No=Ref-08173, 59to the Agency for Health Care Administration (AHCA) annually, to be eligible to use certified public expenditure funds as state match in order to receive federal financial participation in accordance with the state’s Supplemental Payment for Publicly Owned or Operated Emergency Medical Transportation Providers, SPA 2015-014, incorporated by reference, available at http://ahca.myflorida.com/Medicaid/Finance/finance/LIP-DSH/PEMT/index.shtml, and at 113https://www.flrules.org/Gateway/reference.asp?No=Ref-08178115. The form must be completed in accordance with AHCA Form 5000-0035A, May 2017, Emergency Medical Transportation Services Cost Report Instructions, incorporated by reference, and available at http://ahca.myflorida.com/Medicaid/Finance/finance/PEMT/index.shtml, and at 145https://www.flrules.org/Gateway/reference.asp?No=Ref-08176147.
148(3) Funds are appropriated from the Medical Care Trust Fund for the Certified Public Expenditures Program for Emergency Transportation Services and are supplemental to the reimbursement rates on the Florida Medicaid Emergency Transportation Services Fee Schedule, incorporated by reference in Rule 18959G-4.002, 190F.A.C.
191(4) The Provider Reimbursement Manual CMS PUB. 15-1, April 5, 2012, is incorporated by reference, and available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals-Items/CMS021929.html, and at 212http://www.flrules.org/Gateway/reference.asp?No=Ref-08256214.
215(5) Title 2, Code of Federal Regulations (CFR), Subtitle A, Chapter II Part 200, December 19, 2014, is incorporated by reference, and available at https://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title02/2412cfr200_main_02.tpl, 242and at 244http://www.flrules.org/Gateway/reference.asp?No=Ref-08177246.
247Rulemaking Authority 249409.919 FS. 251Law Implemented 253409.908 FS. 255History–New 6-15-17.
