Page 2930

regulations;

(5) “direct costs” means costs included under 45 C.F.R. 75.413 that may be

(A) identified specifically with a particular final cost objective, such as a federal award or other internally or externally funded activity, to meet emergency medical transportation requirements; or

(B) directly assigned, with a high degree of accuracy, to an activity described in (A) of this paragraph;

(6) “direct federal award” means an award that the federal government pays directly;

(7) “dry run” means SEMT services provided by an eligible SEMT provider to an individual who is released on the scene without transportation by ground, air, or water ambulance to a medical facility;

(8) “emergency medical transport” means any ground, water, or air ambulance transport that

(A) was initiated through the 911 system; and

(B) is determined to be all Medicaid claims in a paid status under the provider types for ground ambulance, inclusive of water ambulance, and for air ambulance, except those claims for Medicare recipients with dual eligibility for Medicaid and except for dry runs;

(9) “federal financial participation” or “FFP” means the portion of medical assistance expenditures for emergency medical services paid or reimbursed by the Centers for Medicare and Medicaid Services (CMS) in accordance with the state plan prepared under AS 47.07.040 for medical assistance;

(10) “indirect costs” means costs that

(A) cannot be readily assigned;

(B) are for a common or joint purpose benefitting more than one cost objective; and

(11) “publicly owned or operated” means owned or operated by

(A) a state;

(B) a city, county, home rule municipality, borough, special purpose district, or other governmental unit in that state that has taxing authority or direct access to tax revenues; or

(C) an Indian tribe or tribal organization within the meanings given in 25 U.S.C. 5304(e) and (l) (secs. 4(e) and (l) of the Indian Self Determination and Education Assistance Act);

Page 2930

Official source

regulations;

(5) “direct costs” means costs included under 45 C.F.R. 75.413 that may be

(B) directly assigned, with a high degree of accuracy, to an activity described in (A) of this paragraph;

(6) “direct federal award” means an award that the federal government pays directly;

(8) “emergency medical transport” means any ground, water, or air ambulance transport that

(A) was initiated through the 911 system; and

(10) “indirect costs” means costs that

(A) cannot be readily assigned;

(B) are for a common or joint purpose benefitting more than one cost objective; and

(11) “publicly owned or operated” means owned or operated by

(A) a state;

(B) a city, county, home rule municipality, borough, special purpose district, or other governmental unit in that state that has taxing authority or direct access to tax revenues; or

(C) an Indian tribe or tribal organization within the meanings given in 25 U.S.C. 5304(e) and (l) (secs. 4(e) and (l) of the Indian Self Determination and Education Assistance Act);