Compilation of Rules and Regulations of the State of Georgia
Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH
Chapter 111-3 - MEDICAL ASSISTANCE
Subject 111-3-14 - AMBULANCE PROVIDER MATCHING PAYMENT PROGRAM
Rule 111-3-14-.01 - Definitions
Current through Rules and Regulations filed through September 23, 2024
As used in this Chapter 111-3-14:
(1) "Board" means the Board of Community Health, the body created under O.C.G.A. § 31-2-3, appointed by the Governor, that establishes the general policy to be followed by the Department of Community Health.
(2) "Department" means the Department of Community Health established under O.C.G.A. § 31-2-1.
(3) "Ambulance Service" for the purpose of this rule means a private entity performing services as defined in O.C.G.A. § 31-11-2(4)(A), specifically, for providing emergency care and transportation on the public streets and highways of this state for a wounded, injured, sick, invalid, or incapacitated human being to or from a place where medical or hospital care is furnished, and where such private entity is licensed by the Department of Public Health and is a 911 responding ambulance provider, either designated as a 911 provider or providing services under a service delivery contract for a designated 911 provider.
(4) "Net Patient Revenue" means the total gross patient revenue of an Ambulance Service less contractual adjustments, charity care, bad debt, or any other write-offs.
(5) "Provider Matching Payment" means payment assessed by the Department pursuant to this Chapter on providers which operate a Private Ambulance Service.
(6) "Private Ambulance Service" means an Ambulance Service, as defined in this Chapter, other than:
(7) "Segregated Account" means an account for the dedication and deposit of Provider Matching Payments which is established within the Trust Fund.
(8) "State Plan Amendment" means all documentation submitted by the Commissioner, on behalf of the Department, to and for approval by the Secretary of Health and Human Services pursuant to the Title XIX of the Federal Social Security Act of 1935, as amended.
(9) "Trust Fund" means the Indigent Care Trust Fund created by article 6 of Chapter 8 of Title 31.
(10) "Waiver" means a waiver of the requirements for permissible health care related taxes, as provided for in 42 C.F.R. § 433.68.
O.C.G.A. § 31-11-31.2.
