{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-3242.4","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-3242.4","heading":"Ambulance Service Provider Access Payment Program Fund","body":"A. There is hereby created in the State Treasury a revolving\n\nfund to be designated the \"Ambulance Service Provider Access Payment\n\nProgram Fund\".\n\nB. The fund shall be a continuing fund, not subject to fiscal\n\nyear limitations, be interest bearing and consist of:\n\n1. All monies received by the Oklahoma Health Care Authority\n\nfrom ambulance services pursuant to the Ambulance Service Provider\n\nAccess Payment Program Act and otherwise specified or authorized by\n\nlaw;\n\n2. Any interest or penalties levied and collected in\n\nconjunction with the administration of this section; and\n\n3. All interest attributable to investment of money in the\n\nfund.\n\nC. 1. The Authority shall send a notice of assessment to each\n\nambulance service provider informing the ambulance service provider\n\nof the assessment rate, the ambulance service provider's net\n\noperating revenue calculation, and the assessment amount owed by the\n\nambulance service provider for the applicable year.\n\n2. Annual notices of assessment shall be sent at least thirty\n\n(30) days before the due date for the first quarterly assessment\n\npayment of each year.\n\n3. The first notice of assessment shall be sent within forty-\n\nfive (45) days after receipt by the Authority of notification from\n\nthe Centers for Medicare and Medicaid Services that assessments and\n\npayments required under the Ambulance Service Provider Access\n\nPayment Program Act and, if necessary, the waiver granted under 42\n\nC.F.R., Section 433.68 have been approved.\n\n4. The ambulance service provider shall have thirty (30) days\n\nfrom the date of its receipt of a notice of assessment to review and\n\nverify the assessment rate, the ambulance service provider's net\n\noperating revenue calculation and the assessment amount.\n\nD. 1. The annual assessment imposed under Section 3 of this\n\nact shall be due and payable on a quarterly basis. However, the\n\nfirst installment payment of an assessment imposed by the Ambulance\n\nService Provider Access Payment Program Act shall not be due and\n\npayable until:\n\na. the Authority issues written notice stating that the\n\nassessment and payment methodologies required under\n\nthe Ambulance Service Provider Access Payment Program\n\nAct have been approved by the Centers for Medicare and\n\nMedicaid Services and the waiver under 42 C.F.R.,\n\nSection 433.68, if necessary, has been granted by the\n\nCenters for Medicare and Medicaid Services,\n\nb. the thirty-day verification period required by\n\nparagraph 4 of subsection C of this section has\n\nexpired, and\n\nc. the Authority issues a notice giving a due date for\n\nthe first payment.\n\n2. After the initial installment of an annual assessment has\n\nbeen paid under this section, each subsequent quarterly installment\n\npayment shall be due and payable by the fifteenth day of the first\n\nmonth of the applicable quarter.\n\n3. If an ambulance service provider fails to timely pay the\n\nfull amount of a quarterly assessment, the Authority shall add to\n\nthe assessment:\n\na. a penalty assessment equal to five percent (5%) of the\n\nquarterly amount not paid on or before the due date,\n\nand\n\nb. on the last day of each quarter after the due date\n\nuntil the assessed amount and the penalty imposed\n\nunder subparagraph a of this paragraph are paid in\n\nfull, an additional five-percent penalty assessment on\n\nany unpaid quarterly and unpaid penalty assessment\n\namounts.\n\n4. The quarterly assessment including applicable penalties must\n\nbe paid regardless of any appeals action requested by the ambulance\n\nprovider. If a provider fails to pay the Authority the assessment\n\nwithin the time frames noted on the invoice to the provider, the\n\nassessment and applicable penalty shall be deducted from the\n\nprovider's payment. Any change in payment amount resulting from an\n\nappeals decision will be adjusted in future payments.\n\n5. An ambulance service provider subject to the assessment\nested by the ambulance\n\nprovider. If a provider fails to pay the Authority the assessment\n\nwithin the time frames noted on the invoice to the provider, the\n\nassessment and applicable penalty shall be deducted from the\n\nprovider's payment. Any change in payment amount resulting from an\n\nappeals decision will be adjusted in future payments.\n\n5. An ambulance service provider subject to the assessment\n\nunder the Ambulance Service Provider Access Payment Program Act that\n\nhas not been previously licensed as an ambulance service in Oklahoma\n\nand that commences operations during a year shall pay the required\n\nassessment computed under Section 3 of this act and shall be\n\neligible for ambulance service provider access payments under this\n\nsection on the date specified in the rules promulgated by the\n\nAuthority after consideration of input and recommendations of the\n\nOklahoma Ambulance Alliance.\n\nE. 1. To preserve the quality and improve access to ambulance\n\nservices rendered on or after the effective date of this act, the\n\nAuthority shall make ambulance service provider access payments as\n\nset forth in this section.\n\n2. The Authority shall pay all quarterly ambulance service\n\nprovider access payments within ten (10) calendar days of the due\n\ndate for quarterly assessment payments established in subsection D\n\nof this section.\n\n3. The Authority shall calculate the ambulance service provider\n\naccess payment amount as the balance of the Ambulance Service\n\nProvider Access Payment Program Fund plus any federal matching funds\n\nearned on the balance up to, but not to exceed, the upper payment\n\nlimit gap for all ambulance service providers.\n\n4. All ambulance service providers shall be eligible for\n\nambulance service provider access payments each year as set forth in\n\nthis subsection except ambulance services excluded or exempted in\n\nsubsection B of Section 3 of this act.\n\n5. Access payments shall be made on a quarterly basis.\n\n6. Ambulance service provider access payments shall not be used\n\nto offset any other payment by Medicaid for services to Medicaid\n\nbeneficiaries.\n\n7. If the Centers for Medicare and Medicaid Services finds that\n\nthe Authority has made payments to ambulance service providers that\n\nexceed the upper payment limits, ambulance service providers shall\n\nrefund to the Authority a share of the recouped federal funds that\n\nis proportionate to the ambulance services' contribution to the\n\nupper payment limit.\n\nF. 1. All monies accruing to the credit of the Ambulance\n\nService Provider Access Payment Program Fund are hereby appropriated\n\nand shall be budgeted and expended by the Authority after\n\nconsideration of the input and recommendation of the Alliance.\n\n2. Monies in the Ambulance Service Provider Access Payment\n\nProgram Fund shall be used only for:\n\na. transfers to the Medical Payments Cash Management\n\nImprovement Act Programs Disbursing Fund for the state\n\nshare of ambulance service provider access payments\n\nfor ambulance service providers that participate in\n\nthe assessment,\n\nb. transfers to the Administrative Revolving Fund for the\n\nstate share of payment of administrative expenses\n\nincurred by the Authority or its agents and employees\n\nin performing the activities authorized by the\n\nAmbulance Service Provider Access Payment Program Act\n\nbut not more than Two Hundred Thousand Dollars\n\n($200,000.00) each year, and\n\nc. the reimbursement of monies collected by the Authority\n\nfrom ambulance services through error or mistake in\n\nperforming the activities authorized under the\n\nAmbulance Service Provider Access Payment Program Act.\n\n3. The Authority shall pay from the Ambulance Service Provider\n\nAccess Payment Program Fund quarterly installment payments to\n\nambulance service providers of amounts available for ambulance\n\nservice provider access payments.\nby the Authority\n\nfrom ambulance services through error or mistake in\n\nperforming the activities authorized under the\n\nAmbulance Service Provider Access Payment Program Act.\n\n3. The Authority shall pay from the Ambulance Service Provider\n\nAccess Payment Program Fund quarterly installment payments to\n\nambulance service providers of amounts available for ambulance\n\nservice provider access payments.\n\n4. Monies in the Ambulance Service Provider Access Payment\n\nProgram Fund shall not be used to replace other general revenues\n\nappropriated and funded by the Legislature or other revenues used to\n\nsupport Medicaid.\n\n5. The Ambulance Service Provider Access Payment Program Fund\n\nand the program specified in the Ambulance Service Provider Access\n\nPayment Program Act are exempt from budgetary reductions or\n\neliminations caused by the lack of general revenue funds or other\n\nfunds designated for or appropriated to the Authority.\n\n6. No ambulance service provider shall be guaranteed, expressly\n\nor otherwise, that any additional costs reimbursed to the provider\n\nwill equal or exceed the amount of the ambulance service provider\n\naccess payment program fee paid by the ambulance service.\n\nG. After considering input and recommendations from the\n\nAlliance, the Oklahoma Health Care Authority Board shall promulgate\n\nrules that:\n\n1. Allow for an appeal of the annual assessment of the\n\nAmbulance Service Provider Access Payment Program payable under this\n\nact; and\n\n2. Allow for an appeal of an assessment of any fees or\n\npenalties determined.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"a4b91ce63d399753091389b69db32d1353f339050d396bbae7359dd8c1f44537","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-3242.3","next":"us-ok/okla.-stat.-tit.-63-63-3242.5"},"notice":"GroundRules: Original legal text. Not legal advice."}