R414-507-6. Penalties and Interest

(1) If Medicaid audits a ground ambulance provider's records to determine the correct transports for the assessment and determines the provider failed to accurately report correct transports, Medicaid shall fine the provider 5% of the provider's annual calculated assessment. The fine is payable within 30 days of invoice. (2)(a) If a ground ambulance provider fails to fully pay that provider's assessment on or before the due date, Medicaid shall fine the provider 5% of the provider's quarterly calculated assessment. The fine is payable within 30 days of invoice. (b) The department shall suspend Medicaid payments to a ground ambulance provider until the provider pays the assessment and fine due in full or until the provider and the department reach a negotiated settlement. (3) If a Medicaid-enrolled ground ambulance provider fails to submit reporting required in Rule R911-8, Medicaid may suspend payment until the provider submits the reporting.