Supplemental Medicaid Reimbursement

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Written By: Stephanie Lilly, Lynsey Johnson, and Curtis Coonrod

In addition to billing Medicaid for ambulance services, most local governments can apply annually for supplemental payment.

States make Medicaid payments to hospitals and ambulance providers. One of the two ways payments are made via base payments for services and supplemental payments, which are made in a lump sum for a fixed period of time.

In 2019, Indiana received federal approval to provide a supplemental payment adjustment to in‐state government‐owned ambulance providers. The payment adjustment is intended to reimburse the actual incurred costs of providing ambulance services to eligible Medicaid beneficiaries.                            

An extensive amount of research and calculation is necessary for each reimbursement request.

The complete packet of information includes the following:        

Statistics and Personnel Information: includes information such as incident runs: broken down by ambulance and fire, the annual number of hours for each job category, allocation among different activities.                                                                                

Expenses Information: break down annual expenses into specific categories provided on state form; provide reclassifications, adjustments, and allocations.                  

Medicaid Cost: Provide total ambulance charges and total Medicaid‐related ambulance charges. All source documentation and various information worksheets and certifications.


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This article is intended to provide information of general interest to local government officials in Indiana. The information is not guaranteed to be applicable or appropriate in particular circumstances. Local officials should consult competent professionals before acting on any information contained in this article. We are not attorneys. The advice of a legal nature should be sought only from qualified attorneys.

We inform you that any U.S. federal tax advice contained in this communication (including any attachments) is not intended or written to be used, and cannot be used, for the purpose of (I) avoiding penalties under the Internal Revenue Code or (ii) promoting, marketing, or recommending to another party any transaction or matter addressed herein.

Copyright © 2018 C. L. Coonrod & Company, CPA P.C.

Revised 1/2022