Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-546 - Transportation services
GROUND EMERGENCY MEDICAL TRANSPORTATION (GEMT)
Section 182-546-0520 - GEMT supplemental payments
Universal Citation: WA Admin Code 182-546-0520
Current through Register Vol. 24-18, September 15, 2024
(1) The agency makes supplemental payments for the uncom-pensated and allowable costs incurred while providing GEMT services to clients, as defined by the United States Office of Management and Budget (OMB).
(a) The amount of supplemental
payments, when combined with the amount received from all other sources of
reimbursement from the medicaid program, will not exceed one hundred percent of
allowable costs.
(b) If the
participating provider does not have any uncompensated care costs, then the
participating provider will not receive payment under this program.
(2) The total payment is equal to the participating provider's allowable costs of providing the services.
(a) The participating provider must certify
the uncom-pensated expenses using the cost reporting process described under
WAC
182-546-0525.
This cost reporting process allows medicaid to obtain federal matching dollars
to be distributed to participating providers.
(b) The participating provider must:
(i) Include the expenditure in its
budget.
(ii) Certify that the
claimed expenditures for the GEMT services are eligible for FFP and that the
costs were allocated to the appropriate cost objective according to the cost
allocation plan.
(iii) Provide
evidence, specified by the agency, supporting the certification.
(iv) Submit data, specified by the agency,
determining the appropriate amounts to claim as expenditures qualifying for
FFP.
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