Revision: April 24, 2024, 4:32 p.m.
Rep. Weber, Ches. 5
April 19, 2024
2024-1563h
05/06
Amendment to SB 409-FN
Amend the bill by replacing section 1 with the following:
1 New Paragraph; Commissioner of the Department of Health and Human Services; State Medicaid Plan Amendment Regarding Ambulance Services. Amend RSA 126-A:5 by inserting after paragraph XXXIV the following new paragraph:
XXXV. The commissioner shall submit to the Centers for Medicare and Medicaid Services (CMS) an amendment to the state Medicaid plan to provide reimbursement for ambulance services when care is provided in response to an emergency call to a member's home or on a scene, when an ambulance is dispatched, and treatment is provided to the patient without the patient being transported to another site.
(a) Providers shall be eligible for Medicaid reimbursement when the provider has documented that:
(1) The response originated through an emergency call; and
(2) The patient consents to evaluation and treatment, and one of the following outcomes has occurred:
(A) After the evaluation, and when indicated, treatment, the licensed paramedic or emergency medical technician (EMT) and the patient agree there is no need for transportation by ambulance;
(B) The patient does not request and actively refuses transport to an emergency department for evaluation; or
(C) The patient is stable for referral to the patient's physician, other community resource, and the patient has the ability, including mental capacity and transportation resources, to obtain assistance and medically indicated follow-up.
(b) Providers shall also be eligible for Medicaid reimbursement when the provider has documented that the response originated through an emergency call, resuscitation efforts were terminated, and the patient is deceased.