MI HB5695

Department of Human Services must initiate process within 90 days of receiving complete cost reports from 2 or more eligible ground emergency medical transportation providers to amend Michigan's Medicaid state plan and establish supplemental reimbursement program.

Eligible providers must be publicly owned or operated by governmental entities (state, city, county, fire authority, township, ambulance authority, federally recognized Indian tribe, or local unit of government) and enrolled as Medicaid providers while serving medical assistance recipients.

Supplemental reimbursement equals the federal financial participation received for eligible providers' emergency medical transportation costs, but combined reimbursement from all sources cannot exceed 100% of actual costs incurred.

Reimbursement applies to both fee-for-service basis recipients and managed care program participants, distributed exclusively to eligible providers based on ground emergency medical transportation services provided to medical assistance recipients.

Program participation is voluntary; eligible providers must provide documentation and data as prescribed by the department to establish expenditures qualify for federal financial participation.