Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 30 - Medical Providers-Fee for Service › Subchapter 5 - Individual Providers and Specialties › Part 33 - TRANSPORTATION BY AMBULANCE › Section 317:30-5-344 - Ground Emergency Medical Transportation (GEMT) supplemental payment program

Current through Vol. 41, No. 20, July 1, 2024
(a)
Definitions.
The following words and terms, when used in this
				  Section, shall have the following meaning, unless the context clearly indicates
				  otherwise:
(1)
"Advanced life
				  support"
means emergency medical care and services which are provided by
				  a licensed ground ambulance services provider in accordance with Oklahoma
				  Administrative Code (OAC) 310:641, to include, but not limited to, advanced
				  airway management, intravenous therapy, administration of drugs and other
				  medicinal preparations, and other invasive medical procedures and specified
				  techniques that are limited to the Intermediate, Advanced EMT, and Paramedic
				  scope of practice in accordance with OAC 310:641, Subchapter 5.
(2)
"Allowable costs"
means an
				  expenditure that complies with the regulatory principles as listed in Title 2
				  of the Code of Federal Regulations (C.F.R.), Section 200.
(3)
"Basic life support"
means
				  emergency medical care and services which are provided by a licensed ground
				  ambulance service in accordance with OAC 310:641 to include, but not limited
				  to, cardiopulmonary resuscitation procedures (CPR), hemorrhage control,
				  stabilization of actual or possible skeletal injuries, spinal immobilization,
				  extrication, transportation, and other non-invasive medical care.
(4)
"Contracts with a local
				  government"
means contracts pursuant to a county plan for ambulance and
				  emergency medical services with a:
(A) City,
				  county, or an Indian tribe as defined in Section 4 of the Indian
				  Self-Determination and Education Assistance Act; or
(B) Local service district, including, but
				  not limited to, a rural fire protection district, or all administrative
				  subdivisions of such city, county, or local service district.
(5)
"Eligible GEMT
				  provider"
means a GEMT provider that meets all eligibility requirements
				  in OAC 317:30-5-344 and the Oklahoma Medicaid State Plan (State Plan).
(6)
"Federal financial
				  participation (FFP)"
means the portion of medical assistance
				  expenditures for emergency medical services that are paid or reimbursed by the
				  Centers for Medicare and Medicaid Services (CMS) in accordance with the State
				  Plan.
(7)
"GEMT
				  services"
means the act of transporting an individual by ground from any
				  point of origin to the nearest medical facility capable of meeting the
				  emergency medical needs of the patient, as well as the advanced,
				  limited-advanced, and basic life support services provided to an individual by
				  eligible GEMT providers before or during the act of transportation.
(8)
"Governmental unit"
means
				  the entire state, local, or federally-recognized Indian tribal government,
				  including any component thereof.
(9)
"Publically owned or
				  operated"
means a unit of government that is a state, a city, a county,
				  a special purpose district, or other governmental unit in a state that has
				  taxing authority, has direct access to tax revenues, or is an Indian tribe as
				  defined in Section 4 of the Indian Self-Determination and Education Assistance
				  Act.