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 June 27, 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.