Bill Text: MI HB5695 | 2023-2024 | 102nd Legislature | Chaptered
Bill Title: Human services: medical services; participation in the ground emergency medical transport reimbursement program; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109p.
Spectrum: Strong Partisan Bill (Democrat 30-2)
Status: (Passed) 2024-12-31 - Assigned Pa 275'24 [HB5695 Detail]
Download: Michigan-2023-HB5695-Chaptered.html
Act No. 275
Public Acts of 2024
Approved by the Governor
January 22, 2025
Filed with the Secretary of State
January 22, 2025
EFFECTIVE DATE: April 2, 2025
state of michigan
102nd Legislature
Regular session of 2024
Introduced by Reps. McFall, Tsernoglou, Harris, Mentzer, MacDonell, Andrews, Jaime Greene, Price, Arbit, Steckloff, Liberati, Wilson, Snyder, Haadsma, Paiz, Shannon, Grant, Coffia, Breen, Hope, Brixie, Tyrone Carter, Dievendorf, McKinney, Glanville, Conlin, Martus, Weiss, Young, Byrnes, Brenda Carter and Hoskins
ENROLLED HOUSE BILL No. 5695
AN ACT to amend 1939 PA 280, entitled “An act to protect the welfare of the people of this state; to provide general assistance, hospitalization, infirmary and medical care to poor or unfortunate persons; to provide for compliance by this state with the social security act; to provide protection, welfare and services to aged persons, dependent children, the blind, and the permanently and totally disabled; to administer programs and services for the prevention and treatment of delinquency, dependency and neglect of children; to create a state department of social services; to prescribe the powers and duties of the department; to provide for the interstate and intercounty transfer of dependents; to create county and district departments of social services; to create within certain county departments, bureaus of social aid and certain divisions and offices thereunder; to prescribe the powers and duties of the departments, bureaus and officers; to provide for appeals in certain cases; to prescribe the powers and duties of the state department with respect to county and district departments; to prescribe certain duties of certain other state departments, officers, and agencies; to make an appropriation; to prescribe penalties for the violation of the provisions of this act; and to repeal certain parts of this act on specific dates,” (MCL 400.1 to 400.119b) by adding section 109p.
The People of the State of Michigan enact:
Sec. 109p. (1) No later than 90 days after the submission of a complete and acceptable cost report by 2 or more eligible ground emergency medical transportation providers, the department shall initiate the process to amend this state’s Medicaid state plan to establish and administer a program to provide supplemental reimbursement to eligible ground emergency medical transportation providers that provide ground emergency medical transportation services to medical assistance recipients.
(2) The department may limit the program described under subsection (1) to those costs that are allowable expenditures under title XIX of the social security act, 42 USC 1396 to 1396w-7. The department shall do both of the following:
(a) Submit claims for federal financial participation for the expenditures for services that are allowable expenditures under federal law.
(b)
Submit necessary materials to the federal government to provide assurances that
claims for federal financial participation will include only those expenditures
that are allowable under federal law. The department may utilize
intergovernmental transfers or certified public expenditures to implement this
subdivision.
(3) A ground emergency medical transportation provider is eligible for supplemental reimbursement if the ground emergency medical transportation provider meets all of the following conditions during the period reimbursement is being claimed:
(a) Provides ground emergency medical transportation services to medical assistance recipients.
(b) Is enrolled as a Medicaid provider for the period reimbursement is being claimed.
(c) Is owned or operated by an eligible governmental entity.
(4) A supplemental reimbursement claimed under this section must be calculated and paid as follows:
(a) Except as otherwise provided in subdivision (b), the supplemental reimbursement to an eligible provider is equal to the amount of federal financial participation received for the eligible provider’s cost for the emergency medical transportation services under subdivision (c).
(b) The amount certified, when combined with the amount received from all other sources of reimbursement from the medical assistance program, must not exceed 100% of actual cost incurred, as determined under this state’s Medicaid state plan for ground emergency medical transportation services.
(c) The supplemental reimbursement must be distributed exclusively to eligible providers under a payment methodology that is based on ground emergency medical transportation services provided to medical assistance recipients by eligible providers.
(5) An eligible provider shall make readily available to the department documentation, data, and certification, as prescribed by the department, that are necessary to establish that the emergency medical services expenditures qualify for federal financial participation in order to calculate the amount of supplemental reimbursement that is due.
(6) The department shall pay supplemental reimbursements to eligible providers for services provided on a fee-for-services basis and managed care program recipients in this state’s Medicaid state plan.
(7) Participation in the program described under subsection (1) is voluntary.
(8) As used in this section:
(a) “Eligible governmental entity” means an entity that is eligible under federal law to provide ground medical transportation services and includes this state, a city, a county, a fire authority, a township, an ambulance authority, a federally recognized Indian tribe, or a local unit of government.
(b) “Eligible ground emergency medical transportation provider” or “eligible provider” means a public provider that provides ground emergency medical transportation services to medical assistance recipients and meets the conditions described under subsection (3).
Clerk of the House of Representatives
Secretary of the Senate
Approved___________________________________________
____________________________________________________
Governor
