Code of Massachusetts Regulations
101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 324.00 - Nonpublic Ambulance Service Reimbursement Trust Fund Assessment and Funding
Section 324.02 - General Definitions

As used in 101 CMR 324.00, terms have the meanings set forth in 101 CMR 324.02, except where the context clearly indicates otherwise.

Ambulance Service. Ambulance service as defined in M.G.L. c. 111C, § 1.

Ambulance Service Cost Report. The Ambulance Service Report of Costs, Revenues, and Statistics reported to the Center pursuant to 957 CMR 6.00: Cost Reporting Requirements.

Center. The Center for Health Information and Analysis established under M.G.L. c. 12C.

EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A.

Gross Patient Service Revenue (GPSR). The total dollar amount of nonpublic ambulance charges for services rendered in a provider's fiscal year.

Nonpublic Ambulance Provider. Ambulance provider licensed pursuant to M.G.L. c. 111C, § 6 that is not a city or town, county, district, or other governmental body.

Nonpublic Emergency Ambulance Assessed Charges. Massachusetts gross patient service revenue earned from all patients attributable to emergency ground ambulance service, less bad debt, charity care, or payer discounts. For each provider's fiscal year, assessed charges are determined using data reported in an ambulance provider's Cost Report for that fiscal year, or if that Cost Report is not submitted, using any alternative data available to EOHHS. EOHHS may reasonably calculate the portion of revenue attributable to emergency ground ambulance service, the allocation of bad debt, or any other element of the Nonpublic Emergency Ambulance Assesed Charges based on the data submitted by providers or other data possessed by EOHHS.

Trust Fund. The Nonpublic Ambulance Service Reimbursement Trust Fund established under M.G.L. c. 29, § 2KKKKK, to provide money to be expended for Medicaid payments to nonpublic ambulance providers, as specified in 101 CMR 327.00: Rates of Payment for Ambulance and Wheelchair Services. The Secretary of EOHHS, as trustee, will administer the fund and will make expenditures from the fund consistent with M.G.L. c. 29, § 2KKKKK.

Uniform Assessment. The percentage of nonpublic emergency ambulance assessed charges set by EOHHS as described in 101 CMR 324.04(1).