Health care providers and emergency transport companies without county contracts would face Medicare-based payment limits for services to inmates in Polk County detention centers.
Health care providers without a Polk County contract could receive no more than 110% of the Medicare allowable rate for inmate medical services. A higher 125% limit applies to providers reporting a prior-year negative operating margin.
Emergency transport companies without a Polk County contract could receive no more than 110% of the Medicare allowable rate for moving inmates by ground, water, or air.
The act limits payment for inmate medical services to 110% of the Medicare allowable rate when the provider has no Polk County contract. Covered providers include hospitals, licensed physicians and related clinicians, health plans, surgery centers, certain same-day medical facilities, and their professional associations; facilities primarily performing pregnancy terminations are excluded from the definition. A provider may receive up to 125% of the Medicare allowable rate if it has no county contract and reported a negative operating margin for the previous year through hospital-audited financial data submitted to the state health care agency. The limit does not apply to medical services provided at a hospital operated by Polk County. This limit applies when the act becomes law and covers services for inmates housed in a Polk County detention center.
The act limits payment for emergency medical transportation services to 110% of the Medicare allowable rate when the transport company has no Polk County contract. Covered services include ground or water ambulance transportation and air ambulance transportation for inmates in Polk County detention centers. The company must lack a contract with Polk County to provide inmate emergency medical transportation services. The limit does not apply to charges for medical services provided at a hospital operated by Polk County. This limit applies when the act becomes law and covers transportation for inmates housed in a Polk County detention center.
No hearings or votes scheduled.