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MO HE AL T HNE T DI VI SI ON Gro und E me rg e nc y Me dic a l T ra nspo rta tio n Unc o mpe nsa te d Co st Re imb urse me nt T ra ining T RAI NI NG OVE RVI E W Who s Who GE MT Pro g ra m Autho rity Wha t is

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SLIDE 1

MO HE AL T HNE T DI VI SI ON

Gro und E me rg e nc y Me dic a l T ra nspo rta tio n Unc o mpe nsa te d Co st Re imb urse me nt T ra ining

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SLIDE 2

T RAI NI NG OVE RVI E W

  • Who ’ s Who
  • GE

MT Pro g ra m Autho rity

  • Wha t is the GE

MT Pro g ra m

  • GE

MT Pro g ra m E lig ib ility

  • Pa rtic ipa tio n Re q uire me nts
  • Co st Re po rt
  • Ho w will the GE

MT Pro g ra m Wo rk

  • Co st Se ttle me nt
  • Ag re e me nts
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SLIDE 3

WHO’ S WHO

  • MO HE

AL T HNE T DI VI SI ON

  • Na nc i Niko dym, Ma na g e r
  • De ’ Ne l Ho llida y, Pro g ra m Ma na g e r
  • K

a re n Pe ndle to n, Me dic a id Spe c ia list

  • T
  • ny Brite , De puty Dire c to r, F

ina nc e

  • Mitc h Ruth, F

isc a l & Administra tive Ma na g e r

  • Gle nda K

re me r, Ma na g e r

  • F

I RE PROT E CT I ON/ AMBUL ANCE DI ST RI CT S

  • AP T

RI T ON, L L C

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SLIDE 4

GE MT PROGRAM AUT HORI T Y

  • Misso uri Sta te L

e g isla ture pa sse d Se na te Bill 607 during the 2016 se ssio n

  • RSMo 208.1030 a nd 208.1032
  • Sta te Pla n Ame ndme nt 17-009 a ppro ve d De c e mb e r

22, 2017

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SLIDE 5

WHAT I S T HE MHD GE MT PROGRAM?

  • De pa rtme nt o f So c ia l Se rvic e s(DSS)/ MO He a lthNe t

Divisio n(MHD)

  • F

e e -F

  • r-Se rvic e
  • Vo lunta ry Pro g ra m fo r Go ve rnme nta l E

ntitie s

  • Co st Se ttle me nt Pro g ra m
  • E

lig ib le pro vide rs re c e ive fe de ra l funds to b ring pa yme nt pe r tra nspo rt up to c o st

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SLIDE 6

GE MT PROGRAM E L I GI BI L I T Y

  • Pro vide GE

MT Se rvic e s to MO He a lthNe t Pa rtic ipa nts

  • Be E

nro lle d a s a MO He a lthNe t Amb ula nc e Pro g ra m Pro vide r On o r Be fo re July 1 o f the Re po rting F isc a l Ye a r

  • Be Owne d o r Ope ra te d b y the Sta te o r a Po litic a l

Sub divisio n

  • No n-g o ve rnme nta l Pro vide rs Ma y No t Pa rtic ipa te
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SLIDE 7

PART I CI PAT I ON RE QUI RE ME NT S

  • GE

MT Pro g ra m Pro vide r Ag re e me nt

  • E

le c tro nic T ra nsfe r o f F unds Ag re e me nt

  • I

nte rg o ve rnme nta l T ra nsfe r o f Pub lic F unds Ag re e me nt

  • Administra tio n F

e e Ag re e me nt

  • Co mple te a CMS Appro ve d Co st Re po rt
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SLIDE 8

HOW WI L L T HE GE MT PROGRAM WORK ?

  • Co ntinue to Sub mit F

e e -F

  • r-Se rvic e Cla ims
  • Go to the MHD GE

MT Pro g ra m We b pa g e to Do wnlo a d a nd Co mple te :

  • GE

MT Pro g ra m Pro vide r Ag re e me nt

  • E

le c tro nic T ra nsfe r o f F unds Ag re e me nt

  • Sub mit Co mple te d Do c ume nts b y Se pte mb e r 30 to :

Ask.GE MT @ d ss.mo .g o v in Sub je c t o f E

  • ma il indic a te NPI

F irst (i.e ., SUBJE CT : NPI 1234567890 E nro llme nt Do c ume nts

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SLIDE 9

HOW WI L L T HE GE MT PROGRAM WORK (CONT .)?

  • On o r a fte r July 1 a fte r the e nd o f the re po rting ye a r (sta te

fisc a l ye a r – July 1 – June 30), g o to the MHD GE MT We b Pa g e a nd do wnlo a d the c o st re po rt fo r the re po rting ye a r

  • Co mple te a nd Ce rtify the Co st Re po rt
  • By No ve mb e r 30 fo llo wing the re po rting ye a r, sub mit the

fo llo wing to Ask.GE MT @ dss.mo .g o v (in Sub je c t o f E

  • ma il

indic a te NPI F irst - i.e ., SUBJE CT : NPI 1234567890 Co st Re po rt Do c ume nts)

  • An e xc e l ve rsio n o f the c e rtifie d c o st re po rt
  • A PDF

ve rsio n o f the c e rtifie d c o st re po rt

  • I

ndire c t Co st Ra te Pro po sa l (if re q uire d)

  • I

nte rg o ve rnme nta l T ra nsfe r o f Pub lic F unds Ag re e me nt

  • Asse ssme nt F

e e Ag re e me nt

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SLIDE 10

HOW WI L L T HE GE MT PROGRAM WORK (CONT .)?

  • MHD do e s the fo llo wing :
  • Re vie ws c o st a nd a ve ra g e c o st pe r tra nspo rt
  • Co mpa re s info rma tio n fro m c o st re po rt to fe e -fo r-se rvic e

c la ims pa yme nt re po rt

  • De te rmine s a ny disc re pa nc ie s a nd c o mmunic a te s with

the pro vide r

  • Ca lc ula te s, b y Ma rc h 1, the I

GT pa yme nt a mo unt due fro m the pro vide r

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SLIDE 11

HOW WI L L T HE GE MT PROGRAM WORK (CONT .)?

  • Pro vide r tra nsfe rs funds thro ug h I

GT b y April 1

  • MHD ma ke s pa yme nt to pro vide r b y the first pa y c yc le

in Ma y (Ma y 3, 2019)

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SLIDE 12

COST SE T T L E ME NT

  • Within 3 ye a rs MHD Will:
  • Audit the pro vide r c o st re po rt
  • Ma ke a fina l de te rmina tio n re g a rding a djustme nts
  • Ca lc ula te a ve ra g e c o st pe r tra nspo rt re imb urse d b y

a dding pa id c la ims re imb urse me nt a nd initia l c o st se ttle me nt divide d b y numb e r o f tra nspo rts

  • Co mpa re the a ve ra g e c o st pe r tra nspo rt a lre a dy

re imb urse d to the c e rtifie d c o st re po rt to de te rmine a dditio na l re imb urse me nt due o r o ve rpa yme nt ma de

  • Co mple te the a udit a nd re c o nc ilia tio n pro c e ss a lo ng

with a ny o n-site a udits

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SLIDE 13

COST SE T T L E ME NT (CONT .)

  • Pro vide rs will I

GT funds to MHD to o b ta in a dditio na l re imb urse me nt due o r re turn a ny o ve r pa yme nt due within 30 da ys o f no tific a tio n

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SLIDE 14

PROVI DE R AGRE E ME NT

  • GE

MT PROVI DE R RE SPONSI BI L I T I E S

  • Co mply with sta te a nd fe de ra l re q uire me nts
  • Co mply with a llo wa b le e xpe nse s a nd fisc a l

do c ume nta tio n

  • Sub mit c o st re po rt, I

nte rg o ve rnme nta l T ra nsfe r o f Pub lic F unds Ag re e me nt, a nd Asse ssme nt F e e Ag re e me nt

  • Ac c e pt re imb urse me nt a s pa yme nt in full
  • Ag re e to re turn a ny o ve rpa yme nt
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SLIDE 15

PROVI DE R AGRE E ME NT (CONT .)

  • MHD RE

SPONSI BI L I T I E S

  • De ve lo p, imple me nt a nd a dministe r the GE

MT Pro g ra m

  • E

nsure c o mplia nc e with Sta te Pla n re q uire me nts

  • Sub mit ne c e ssa ry do c ume nta tio n to CMS
  • E

nsure GE MT Pro g ra m pa yme nts do no t e xc e e d c o sts

  • Co mple te a udit a nd c o st se ttle me nt in 3 ye a rs
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SLIDE 16

I NT E RGOVE RNME NT AL T RANSF E R OF PUBL I C F UNDS AGRE E ME NT

  • Pro vide r a g re e s to tra nsfe r funds e q uiva le nt to the no n-

fe de ra l sha re o f pa yme nt to b e ma de

  • Pro vide r a g re e s tha t funds tra nsfe rre d q ua lify fo r

fina nc ia l pa rtic ipa tio n

  • Pro vide r a nd MHD sha ll ma inta in a de q ua te re c o rds
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SLIDE 17

ASSE SSME NT F E E AGRE E ME NT

  • Pro vide r sha ll tra nsfe r a n a dministra tive fe e to MHD

e q ua l to 20% o f the no n-fe de ra l sha re o f the pa yme nt a mo unt

  • T

he 20% a dministra tive fe e sha ll b e tra nsfe rre d se pa ra te ly fro m a nd simulta ne o usly to the I GT

  • f pub lic

funds

  • T

he 20% a dministra tive fe e is no n-re funda b le

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SLIDE 18

RE SOURCE S

  • https:/ / dss.mo .g o v/ mhd/ pro vide rs/ g e mt.htm
  • Ask.GE

MT @ d ss.mo .g o v