Oklahoma § 63-3242.2 - Definitions

§ 63-3242.2. Definitions

As used in the Ambulance Service Provider Access Payment Program

Act:

Oklahoma Statutes - Title 63. Public Health and Safety

1. "Air ambulance" means ambulance services provided by fixed

or rotor wing ambulance services;

2. "Alliance" means the Oklahoma Ambulance Alliance or its

successor association;

3. "Ambulance" means a motor vehicle that is primarily used or

designated as available to provide transportation and basic life

support or advanced life support;

4. "Ambulance service" or "ambulance service provider" means

any private firm or governmental agency which is or should be

licensed by the State Department of Health to provide levels of

medical care based on certification rules or standards promulgated

by the State Commissioner of Health;

5. "Department" means the State Department of Health;

6. "Emergency" or "emergent" means a serious situation or

occurrence that happens unexpectedly and demands immediate action,

such as a medical condition manifesting itself by acute symptoms of

sufficient severity including severe pain such that the absence of

immediate medical attention could reasonably be expected, by a

reasonable and prudent layperson, to result in placing the patient’s

health in serious jeopardy, serious impairment to bodily function or

serious dysfunction of any bodily organ or part;

7. "Emergency transport" means the movement of an acutely ill

or injured patient from the scene to a health care facility or the

movement of an acutely ill or injured patient from one health care

facility to another health care facility;

8. "Licensure" means the licensing of emergency ambulance

services pursuant to rules and standards promulgated by the State

Commissioner of Health;

9. "Net operating revenue" means the gross revenues earned for

providing emergency and nonemergency transports in Oklahoma

excluding revenues earned for providing air ambulance services and

amounts refunded to or recouped, offset or otherwise deducted by a

patient or payer for ground medical transportation;

10. "Nonemergency transport" means the movement of any patient

in an ambulance other than an emergency transport;

11. "Upper payment limit" means the lesser of the customary

charges of the ambulance service provider or the prevailing charges

in the locality of the ambulance service provider for comparable

services under comparable circumstances, calculated according to

methodology in an approved state plan amendment for the state

Medicaid program; and

12. "Upper payment limit gap" means the difference between the

upper payment limit of the ambulance service provider and the

Medicaid payments not financed using the ambulance service provider

assessments made to all ambulance service providers, provided that

the upper payment limit gap shall not include air ambulance

services.

Oklahoma Statutes - Title 63. Public Health and Safety

Added by Laws 2021, c. 540, § 2, eff. Nov. 1, 2021.