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Commissioner Fraley - GEMS - To Accept and Appropriate the Non-Federal Share of Medicaid Fees Received from the NC Medicaid Managed Care Plans for Separate Directed Payments (100% Medicaid Fees - $322,115)
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STAFF CONTACT
Mark Lamphiear - GEMS - 704-866-3202
BUDGET IMPACT
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Appropriate 100% Medicaid Fee Revenue.
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BUDGET ORDINANCE IMPACT
Increase revenue by $322,115 and appropriate $322,115 into project account.
BACKGROUND
Per the North Carolina State Plan, county Public Ambulance Providers are required to file annual Medicaid cost reports based on State Fiscal Year dates of service. Based on these cost reports, NC Medicaid issues the providers an annual cost report settlement for covered services. Under Managed Care, annual cost reports and cost report settlements for Public Ambulance Providers are planned to continue for all covered service claims activity that remains fee-for service. GEMS will then reimburse the state for the non-federal share of the directed payment amount that is in excess of the provider's historical Medicaid payment received.
POLICY IMPACT
N/A
ATTACHMENTS
Budget Change Request (BCR)