Ambulance Service Provider Access Payment Program; providing calculation and payment methodology for certain services; allowing certain substitution of requirements. Emergency.
Impact
The primary impact of SB744 is on state Medicaid reimbursement processes for emergency medical transportation. Eligible service providers, including those owned or operated by governmental entities, will be able to receive supplemental reimbursement under criteria set forth in the bill. This aims not only to ensure that providers are fully compensated for their services but also to implement the reimbursement structure without drawing from the state General Revenue Fund, relying instead on federal financial participation. Such measures are critical in maintaining accessible emergency services in underserved areas.
Summary
Senate Bill 744 is aimed at improving the financial framework for ambulance service providers in Oklahoma. The bill revises provisions related to the Ambulance Service Provider Access Payment Program, specifically focusing on supplemental reimbursement methodology for ground emergency medical transportation services provided to Medicaid beneficiaries. By amending existing legislation, it deletes certain reimbursement requirements and allows for intergovernmental agreements to replace those requirements, thereby enhancing the financial viability of ambulance service providers across the state.
Sentiment
The sentiment surrounding SB744 appears largely positive, particularly among those in the healthcare industry and local governments advocating for enhanced emergency services funding. Supporters believe that the bill will relieve financial pressures on providers and ensure that emergency medical services remain available to the community, which is essential for public health and safety. However, there may also be caution regarding the reliance on intergovernmental agreements and the implications for potential funding arrangements between entities.
Contention
While there is general support for SB744, some concerns may arise regarding the implementation of the new reimbursement methodology. The necessity for approval from the federal Centers for Medicare and Medicaid Services adds a layer of complexity, especially considering that the program's success relies on federal compliance. Any delays or issues with obtaining federal approval could hinder the intended benefits of the bill. Additionally, some stakeholders may question how the changes will affect the financial relationships between different healthcare providers and government entities involved in emergency services.
Ambulance Service Provider Access Payment Program; relating to supplemental Medicaid reimbursement for ground emergency transportation; deleting certain requirement for reimbursement. Emergency.
Ambulance service providers; creating the Ambulance Service Provider Access Payment Program Act; creating fund; requiring Health Care Authority to cease collection of fees and refund providers under certain conditions; effective date.
Medicaid program; requiring coverage of medically necessary donor human milk-derived products under certain conditions; reimbursement; approval. Effective date. Emergency.
Health insurance; ambulance service provider; providing for establishment of certain database; modifying reimbursement rates and criteria for certain ambulance services. Effective date.
Rebate payments; creating the Oklahoma Five Major Sports Leagues Rebate Program Act; providing rebate payments for certain establishments; prescribing requirements for qualification of payments; providing transfer of certain monies to the Oklahoma Quick Action Closing Fund; prescribing procedures; effective date.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.