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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

  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

  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

  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 o 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

  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

  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 o 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

  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

  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

  8. HOW WI L L T HE GE MT PROGRAM WORK ? • Co ntinue to Sub mit F e e -F o 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

  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

  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

  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)

  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

  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

  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

  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

  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

  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 o f pub lic funds • T he 20% a dministra tive fe e is no n-re funda b le

  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

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