Part Definitions

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As used in this part:

  1. “Ambulance provider” means a public or private ground-based ambulatory service, other than an ambulance service based on federal property, that bills for transports and has a base of operations within the state;
  2. “Assessment” means the medicaid ambulance provider assessment established by this part;
  3. “Bureau” means the bureau of TennCare;
  4. “Medicaid transport” means ground ambulance services specified in the Healthcare Common Procedure Coding System (HCPCS) under codes A0225, A0426, A0427, A0428, A0429, A0433, and A0434, and paid by medicaid, as recorded by the managed care organization under contract to the bureau;
  5. “Net operating revenue” means all revenues, regardless of payer source, collected by ambulance providers for patient services excluding charity care or any other uncompensated patient services, in accordance with 42 CFR 433.68;
  6. “Office of emergency medical services” means the office of emergency medical services within the department of health; and
  7. “Total transports” means all transports reported during the base period by a provider to the office of emergency medical services.


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