HB 2346 -- Federal Reimbursement Allowance for Ambulance Services

Sponsor:  Schaaf

This bill creates a federal reimbursement allowance for ground
ambulance services.  Each ambulance service, except state-owned
and state-operated ambulances, will be required to pay an
ambulance service reimbursement allowance based on a formula
created by the Department of Social Services.  Each ambulance
service is required to keep records necessary to determine the
amount of its reimbursement allowance.

The Director of the Department of Social Services is required to
determine the amount of ambulance service reimbursement allowance
due and notify each ambulance service by October 1 each year.
The department is authorized to offset the ambulance service
reimbursement allowance against any MO HealthNet Program payment
due to that ambulance service, if requested by the ambulance
service.

Each ambulance service reimbursement allowance determination is
final, unless the ambulance service files a protest with the
director of the department within 30 days of receipt of the
written notice.  If a timely protest is filed, the director will
reconsider the determination.

The bill creates the Ambulance Service Reimbursement Allowance
Fund to provide payment to ambulance services and disburse up to
5% of the federal funds deposited into the fund each year.  The
bill also creates the Ambulance Service Quality of Care Fund and
requires all investment earnings of the Ambulance Service Quality
of Care Fund be credited to said fund.

The ambulance reimbursement allowance period will be from October
1 to September 30.  The department is required to notify each
ambulance service September 30 of each year the balance due.  If
an ambulance service fails to pay its reimbursement allowance
within 30 days of the notice, the reimbursement allowance is then
considered delinquent.

The provisions of the bill will apply if the revenues generated
are eligible for federal participation under the MO HealthNet
Program.  The bill requires the department to provide copies of
the proposed program rules to all interested parties 72 hours
before filing the proposed rules with the Secretary of State.
The director of the department is required to maintain a list of
registered interested parties.

The provisions of the bill will expire on September 30, 2014.

Missouri House of Representatives
Last Updated March 18, 2008 at 9:28 am