§ 42-11-104 — Assessments

(a) Each private ground ambulance service provider shall
pay a private ground ambulance service provider assessment to
the department in accordance with this section.
(b) The assessment due under this section shall be imposed
each fiscal year in an amount calculated as a uniform percentage
of each private ground ambulance service provider's net patient
revenue. The assessment rate shall be determined by the
department on a prospective basis and shall be based on the
percentage of private ground ambulance service provider net
patient revenue necessary to generate an amount not to exceed
the nonfederal portion of the upper payment limit gap plus the
fee authorized by W.S. 42-11-103(d)(i). If a rate enhancement is
paid to private ground ambulance service providers pursuant to
this chapter, the assessment rate shall include a uniform
percentage of each private ground ambulance service provider's
net patient revenue necessary to generate the nonfederal portion
of all enhanced rates paid under this chapter plus the fee
authorized by W.S. 42-11-103(d)(i). In no event shall
assessments or the assessment rate exceed the indirect guarantee
threshold amount established by 42 C.F.R. 433.68(f)(3)(i) or
other federal law.
(c) Unless otherwise determined by the department, the
department shall collect and each private ground ambulance
service provider shall pay the assessment required by this
section on a quarterly basis, each payment constituting twenty-
five percent (25%) of the annual assessment determined by the
department. The initial payment shall be due not later than
forty-five (45) days after the state plan has been approved by
the Centers for Medicare and Medicaid Services unless a later
date is set by the department. Subsequent payments are due not
later than forty-five (45) days after the end of each calendar
quarter unless a later date is set by the department.
(d) If a private ground ambulance service provider ceases
to operate as an ambulance service or for any reason ceases to
be subject to the assessment imposed under this chapter, the
assessment for the fiscal year in which the cessation occurs
shall be adjusted by multiplying the annual assessment by a
fraction, the numerator of which is the number of days in the
year during which the private ground ambulance service provider
is subject to the assessment and the denominator of which is
three hundred sixty-five (365). Immediately upon ceasing to
operate as an ambulance service provider, or otherwise ceasing
to be subject to this chapter, the private ground ambulance
provider shall pay the assessment for each quarter as adjusted,
to the extent not previously paid.