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-.02 - Payments to the Segregated Account
Current through Rules and Regulations filed through September 23, 2024
(1) There is established within the Trust Fund a Segregated Account for revenues raised through the imposition of the Provider Matching Payment. Any Provider Matching Payment assessed pursuant to this Chapter shall be deposited into the Segregated Account. No other funds shall be deposited into the Segregated Account. All funds shall be invested in the same manner as authorized for investing other moneys in the state treasury.
(2) Each Private Ambulance Service shall be assessed a Provider Matching Payment in an amount that shall not exceed the amount necessary for this program to obtain federal financial participation allowable under Title XIX of the Social Security Act.
(3) The Provider Matching Payment shall be paid quarterly by each Private Ambulance Service to the Department. Payment of the Provider Matching Payment shall be due on the last day of the last month of each calendar quarter; the first payment shall be due on September 30, 2022, or 30 calendar days after Board approval of this rule, whichever is later.
(4) The Department shall prepare and distribute a form on which each Ambulance Service shall submit information to comply with this Chapter.
(5) Each Ambulance Service shall keep and preserve for a period of seven (7) years such books and records as may be necessary to determine the amount for which it is liable under this Chapter. The Department shall have the authority to inspect and copy the records of an Ambulance Service for purposes of auditing the calculation of the Provider Matching Payment. All information obtained by the Department pursuant to this Chapter shall be confidential and shall not constitute a public record.
(6) The Department may impose a penalty of up to six percent (6%) for any Ambulance Service that fails to pay a Provider Matching Payment within the time required by the Department for each month or fraction thereof that the Provider Matching Payment is overdue. If a required Provider Matching Payment has not been received by the Department by the last day of the last month of the calendar quarter, the Department may withhold an amount equal to the Provider Matching Payment and penalty owed from any medical assistance payment due such Ambulance Service under the Medical program. Any Provider Payment assessed pursuant to this Chapter shall constitute a debt due the state and may be collected by civil action and the filing of tax liens in addition to such methods provided for in this Chapter. Any penalty that accrues pursuant to this Rule shall be credited to the Segregated Account.
(7) If the Department determines that an Ambulance Service has underpaid the Provider Payment, the Department shall notify the Ambulance Service of the balance of the Provider Payment that is due. Such payment shall be due within thirty (30) days of the Department's notice.
O.C.G.A. § 31-11-31.2.
