|Date Requested:March 25, 2013
Time Requested:09:43 AM
| FUND(S) |
Sources of Revenue
Legislation creates:Neither Program nor Fund
Effect this measure will have on costs and revenues of state government.
| The purpose of this bill is to provide the maximum amount for air-ambulance services which may be collected pursuant to the plans of the West Virginia Public Employees Insurance Agency.
Passage of this bill would extend allowable benefit coverage to any air-ambulance provider for which the reimbursement amount in total can’t exceed the amount then in effect for the Federal Medicare program.
Passage of this bill would require the Public Employees Insurance Agency (PEIA) to change benefit reimbursement levels from Medicare Urban rate to Medicare Rural rate. This change will result in a reimbursement rate increase of fifty per cent.
It should be noted that this is a consumer protection bill to stop vendors from excessive balance billing to the citizens of West Virginia.
Projected cost increase for implementation of this bill is estimated to be $2,748,152.00 for the next three fiscal years.
CLAIM UNITS RURAL TO MEDICARE MEDICARE MEDICARE MEDICARE
MILES URBAN URBAN RURAL URBAN RURAL
11.00 1.5 2,681.47 4,022.21 29,496.22 44,244.34
296.00 1.5 3,117.62 4,676.43 922,814.76 1,384,222.14
3,155 1.5 8.32 12.48 26,249.60 39,374.40
30,702 1.5 22.21 33.32 681,891.42 1,022,837.13
Projected Cost FY-2013 830,226.00
Trend Factor 5%
Total Cost $2,748,151.85
|Effect of Proposal||Fiscal Year|
|1. Estmated Total Cost||0||0||0|
|Repairs and Alterations||0||0||0|
|2. Estimated Total Revenues||0||0||0|
3. Explanation of above estimates (including long-range effect):