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S. B. No. 337 As IntroducedAs Introduced
127th General Assembly | Regular Session | 2007-2008 |
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Cosponsors:
Senators Austria, Cafaro, Coughlin, Miller, D., Padgett, Schuring
A BILL
To enact sections 5111.0210 and 5111.0211 of the
Revised Code to modify the Medicaid program's
reimbursement rate for medical transportation
services.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 5111.0210 and 5111.0211 of the
Revised
Code be enacted to read as follows:
Sec. 5111.0210. (A) As used in this section and section
5111.0211 of the Revised Code:
"Fiscal biennium" means a period of time beginning the first
day of July of an odd-numbered calendar year and ending the last
day of June of the next odd-numbered calendar year.
"Medical transportation services" means the services of a
land ambulance, air ambulance, or ambulette provider.
"Respond but not transport service" means the service of a
land ambulance, air ambulance, or ambulette provider responding to
a medicaid recipient's emergency situation and treating the
recipient but not transporting the recipient.
(B) The director of job and family services shall adopt rules
under section 5111.02 of the Revised Code governing the medicaid
program's coverage of medical transportation services. The rules
shall do all of the following:
(1) Provide for the medicaid program to cover the respond but
not transport service as part of medical transportation services;
(2) Include a mechanism by which the medicaid program's
reimbursement rate for medical transportation services is adjusted
each fiscal biennium;
(3) Beginning not later than July 1, 2011, set the
reimbursement rate for each medical transportation service that is
also covered by the medicare program at an amount equal to at
least eighty per cent of the medicare reimbursement rate for the
service;
(4) Beginning not later than July 1, 2011, set the
reimbursement rate for each medical transportation service that is
not also covered by the medicare program at an amount equal to at
least the average of the medicaid reimbursement rates for medical
transportation services that are also covered by the medicare
program.
Sec. 5111.0211. (A) There is hereby created the Ohio medicaid
transportation provider advisory council. The council shall
consist of the following members:
(1) Three representatives of the Ohio ambulance and medical
transportation association, appointed by the governor from
recommendations the association makes to the governor;
(2) Two representatives of the work unit within the
department of job and family services primarily responsible for
the administration of the medicaid program, appointed by the
director of job and family services;
(3) One representative of the Ohio medical transportation
board, appointed by the board;
(4) The auditor of state or the auditor's designee.
(B) Each member of the Ohio medicaid transportation provider
advisory council appointed to the board pursuant to divisions
(A)(1) to (3) of this section shall serve a term of four years.
Original appointments shall be made not later than ninety days
after the effective date of this section. Each member shall hold
office from the date of appointment until the end of the term for
which the member was appointed. Members may be reappointed.
Vacancies shall be filled in the manner provided for original
appointments. Any member appointed to fill a vacancy occurring
before the expiration date of the term for which the member's
predecessor was appointed shall hold office as a member for the
remainder of that term. A member shall continue in office
subsequent to the expiration date of the member's term until the
member's successor takes office or until a period of sixty days
has elapsed, whichever occurs first.
(C) All members of the council shall serve without
compensation or reimbursement, except as serving on the council is
considered part of their usual job duties.
(D) The members of the council shall elect one of the members
of the council to serve as the council's chairperson for a
two-year term. The chairperson may be reelected to successive
terms.
(E) The member of the Ohio medicaid transportation provider
advisory council who represents the Ohio medical transportation
board shall call the council to meet the first time. The
chairperson of the council shall call the council to subsequent
meetings. The council shall meet at least once every two years and
at other times requested by the director of job and family
services or the chief of the work unit within the department of
job and family services primarily responsible for the
administration of the medicaid program. At its meetings, the
council shall examine whether the medicaid program's reimbursement
rate for medical transportation services is sufficient to ensure
that medicaid recipients have access to safe and efficient medical
transportation services. In making the examination, the council
may consider both of the following:
(1) Whether the reimbursement rate in effect at the time of
the examination complies with federal and state laws governing the
medicaid program and adequately covers providers' costs of
providing the services;
(2) The change in the following since the last time the
medicaid program's reimbursement for medical transportation
services was adjusted:
(a) The consumer price index;
(b) The average price of fuel;
(c) The average cost of workers' compensation and insurance
for medical liability, automobiles, and other business matters;
(d) The cost to purchase or lease medical transport vehicles
and other necessary medical supplies;
(e) Other economic indicators the council deems worthy to
consider.
(F) The Ohio medicaid transportation provider advisory
council shall provide the director of job and family services with
recommendations regarding the medicaid program's reimbursement
rate for medical transportation services. The director may
consider the council's recommendations when adjusting the medicaid
program's reimbursement for medical transportation services for a
fiscal biennium in rules adopted under section 5111.02 of the
Revised Code.
(G) The department of job and family services shall provide
the Ohio medicaid transportation provider advisory council with
accommodations for the council to hold its meetings and shall
provide the council with other administrative assistance that the
council needs to perform its duties.
Section 2. As used in this section, "medical transportation
services" means the services of a land ambulance, air ambulance,
or ambulette provider.
The Medicaid program shall increase its reimbursement rate
for medical transportation services not later than ninety days
after the effective date of this section. The Director of Job and
Family Services shall amend the Medicaid program's rules adopted
under section 5111.02 of the Revised Code as necessary to
accomplish this increase.
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