FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION"

Transcription

1 FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION

2 NYS Medicaid Transportation Schedule Ambulance A0422 A0420 A0424 A0425 A0426 A0427 A0428 A0429 A0430 A0431 A0432 A0433 A0434 A0435 A0436 A0999 Advanced Life Support or Basic Life Support Oxygen and Oxygen Supplies Life Sustaining Situation Wait Time (ALS or BLS) One Half Hour Increments Extra attendant, ALS or BLS (Requires Medical Review) Ground Mileage per Statute Mile Advanced Life Support, Non-Emergency, Level 1 (ALS1) Advanced Life Support, Emergency, Level 1 (ALS1 Emergency) Basic Life Support, Non-Emergency (BLS) Basic Life Support, Emergency (BLS Emergency) Conventional Air Services, Transport, One Way (Fixed Wing) Conventional Air Services, Transport, One Way (Rotary Wing) Paramedic Intercept Advanced Life Support, Level 2 (ALS2) Specialty Care Transport (SCT) Fixed Wing air mileage, per statute mile Rotary Wing air mileage, per statute mile Unassigned Established March

3 NYS Medicaid Transportation Schedule Ambulette/Wheelchair Van NY100 NY101 NY102 NY103 NY104 NY105 NY106 NY107 NY108 NY109 NY110 NY111 NY112 NY113 NY114 NY115 NY116 NY117 NY118 NY119 NY120 NY121 NY122 NY123 NY124 NY125 NY126 NY127 NY128 NY129 NY130 NY131 NY132 NY133 One way trip inside common medical marketing area One way evening, weekend, holiday One way outside common medical marketing area Mileage Roundtrip Additional recipients in vehicle at the same time One Way to recurring appointments, i.e., dialysis Add-on for long distance trip Add-on for exceptional travel situations requiring increased reimbursement (i.e., carrydown) Attendant Attendant evening, weekend, holiday Stretcher: One way inside common medical marketing area Stretcher: One way outside common medical marketing area Stretcher: Add-on for exceptional travel situations requiring increased reimbursement Stretcher: Roundtrip Stretcher: Mileage Drug store stop/other/extra stop Tolls Ambulette Used as Taxi/Livery Ambulette Used as Taxi/Livery: ambulatory Multi-purpose vehicle used as ambulette/taxi/livery Ambulette as Taxi/Livery: mileage Ambulette as Taxi/Livery: outside common medical marketing area Ambulette as Taxi/Livery: additional recipients in vehicle Group Ride: one way per person ambulatory Group Ride: one way per person wheelchair Group Ride: extra recipient traveling at the same time Group Ride: outside common medical marketing area Group Ride: outside county Group Ride: Roundtrip Group Ride: attendant Group Ride: Mileage Established March

4 NYS Medicaid Transportation Schedule Ambulette/Wheelchair Van continued NY134 NY135 NY136 NY137 NY138 NY139 NY140 NY199 Mileage: Mileage: Mileage: Mileage: Stretcher: Stretcher: Unassigned available for extraordinary transports Established March

5 NYS Medicaid Transportation Schedule Taxi/Livery/Van NY200 NY201 NY202 NY203 NY204 NY205 NY206 NY207 NY208 NY209 NY210 NY211 NY212 NY213 NY214 NY215 NY216 NY217 NY218 NY219 NY220 NY221 NY222 NY223 NY224 NY225 NY226 NY227 NY228 NY229 NY230 NY231 NY232 NY233 NY234 NY235 NY298 NY299 One way inside common medical marketing area One way evening, weekend, holiday One way outside common medical marketing area Roundtrip Inside County Outside county Mileage Additional recipients in vehicle at same time Regularly recurring trip, i.e., dialysis Attendant Add-on for long distance trip Add-on for exceptional travel situations requiring increased reimbursement Group Ride: One way inside common medical marketing area Group Ride: One way outside common medical marketing area Group Ride: Roundtrip Group Ride: Inside county Group Ride: Outside county Group Ride: One way ambulatory per person Group Ride: One way wheelchair per person Group Ride: One way ambulatory additional recipient in vehicle at same time Group Ride: One way wheelchair additional recipient in vehicle at same time Group Ride: Mileage Group Ride: Ambulatory Mileage Group Ride: Wheelchair mileage Group Ride: Attendant Group Ride: to Medical Appointment Drugstore stop/extra stop Tolls Group Ride One way zone 1 or county specific Group Ride One way zone 2 or county specific Group Ride One way zone 3 or county specific Group Ride One way zone 4 or county specific Group Ride One way zone 5 or county specific Group Ride One way zone 6 or county specific Group Ride: Unassigned for extraordinary transports Taxi/Livery: Unassigned for extraordinary transports Established March

6 NYS Medicaid Transportation Fee Schedule For information on Medicaid transportation reimbursement amounts and procedure codes, please contact the Local Department of Social Services (LDSS) Medicaid transportation staff. LDSS contact information is located in the Information for All Providers Inquiry manual, available online at: Version June 9, 2006 Page 1 of 1

Medical Coverage Policy Ambulance: Ground Transport

Medical Coverage Policy Ambulance: Ground Transport Medical Coverage Policy Ambulance: Ground Transport Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2001 Policy Last Updated: 6/19/2012 Prospective review is recommended/required.

More information

A0427 Ambulance service, advanced life support, emergency transport, and level 1 (ALS1- Emergency. Two patients served

A0427 Ambulance service, advanced life support, emergency transport, and level 1 (ALS1- Emergency. Two patients served Medical Transptation Conversion Current Billing s X0002 call, two patients, each patient National Modifier New Billing s A0427, advanced life suppt, emergency transpt, level 1 (ALS1- emergency) UN Two

More information

P o l i c y C h a n g e s

P o l i c y C h a n g e s Wyoming Department Of Health Medicaid EqualityCare Ambulance Services 01-001 Effective January 1, 2001, the 2001 ambulance HCPCS codes went into effect and have been accepted by Wyoming Medicaid since

More information

Medical Coverage Policy Ground Ambulance

Medical Coverage Policy Ground Ambulance Medical Coverage Policy Ground Ambulance Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2004 Policy Last Updated: 12/06/2011 Prospective review is recommended/required. Please check

More information

TRANSPORTATION SERVICES

TRANSPORTATION SERVICES TRANSPORTATION SERVICES ADMINISTRATIVE POLICY Policy Number: TRANSPORT 002.15 T2 Effective Date: March 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS... COVERAGE RATIONALE...

More information

NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL

NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL POLICY GUIDELINES Table of Contents SECTION I - REQUIREMENTS FOR PARTICIPATION IN MEDICAID...3 QUALIFICATIONS OF AMBULANCE PROVIDERS... 3 QUALIFICATIONS

More information

AMBULANCE SERVICES. Table of Contents

AMBULANCE SERVICES. Table of Contents AMBULANCE SERVICES Protocol: MSC023 Effective Date: 4/1/2015 Table of Contents Page COMMERCIAL COVERAGE RATIONALE... 1 MEDICARE & MEDICAID COVERAGE RATIONALE... 4 DEFINITIONS... 4 APPLICABLE CODES... 5

More information

Intermediaries/Carriers

Intermediaries/Carriers Department of Health and Program Memorandum Human Services (DHHS) Intermediaries/Carriers CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) Transmittal AB-01-165 Date: NOVEMBER 14, 2001 CHANGE REQUEST 1555

More information

No preference is given to New York based companies. The Funding Availability Solicitation (FAS) is a nationwide solicitation.

No preference is given to New York based companies. The Funding Availability Solicitation (FAS) is a nationwide solicitation. A. General 1. Is preference given to New York based companies? No preference is given to New York based companies. The Funding Availability Solicitation (FAS) is a nationwide solicitation. 2. Is the coordination

More information

Anthem Central Region Clinical Claims Edit

Anthem Central Region Clinical Claims Edit Please compare the claim's date of adjudication to the range of the edit in question. Prior versions, if any, can be found below. Subject: Electrocardiogram (ECGs) with Ambulance AL & BLS Services Edit

More information

AMBULANCE SERVICES. Page

AMBULANCE SERVICES. Page AMBULANCE SERVICES COVERAGE DETERMINATION GUIDELINE Guideline Number: CS003.C Effective Date: July 1, 2015 Table of Contents COVERAGE RATIONALE... DEFINITIONS APPLICABLE CODES... REFERENCES... HISTORY/REVISION

More information

Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy

Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy File name: Ambulance and Medical Transport Services (Ground, Air and Water) File code: UM.SPSVC.06 Origination:

More information

BULLETIN. Medical. Assis. Programs. ssistance. AMBULANCE PROVIDER Policy and Procedure Update ELIMINATION OF LOCAL CODES

BULLETIN. Medical. Assis. Programs. ssistance. AMBULANCE PROVIDER Policy and Procedure Update ELIMINATION OF LOCAL CODES July 2003 Kansas Medical Assis ssistance Programs AMBULANCE PROVIDER Policy and Procedure Update ELIMINATION OF LOCAL CODES BULLETIN Effective with dates of service on and after July 14, 2003, all Ambulance

More information

Clinical Medical Policy Ambulance Transportation. Benefit Coverage

Clinical Medical Policy Ambulance Transportation. Benefit Coverage Benefit Coverage A. Preface Transportation to medical appointments is a benefit for RIte Care, Sub Care, CSN, and RHP members. Members are expected to provide their own transportation to medical appointments;

More information

AMBULANCE SERVICES. Page

AMBULANCE SERVICES. Page AMBULANCE SERVICES COVERAGE DETERMINATION GUIDELINE Guideline Number: CDG.001.03 Effective Date: June 1, 2015 Table of Contents COVERAGE RATIONALE... DEFINITIONS. APPLICABLE CODES... REFERENCES... HISTORY/REVISION

More information

P R O V I D E R B U L L E T I N B T 2 0 0 5 0 5 M A R C H 8, 2 0 0 5

P R O V I D E R B U L L E T I N B T 2 0 0 5 0 5 M A R C H 8, 2 0 0 5 P R O V I D E R B U L L E T I N B T 2 0 0 5 0 5 M A R C H 8, 2 0 0 5 To: All Transportation Providers Subject: Transportation Billing Guide Table of Contents Table of Contents... 1 Types of Transportation

More information

Clinical Policy Guideline

Clinical Policy Guideline Policy Title: Ambulance Service Effective Date: 10/25/01 Clinical Policy Guideline Date Reviewed: 01/18/11, 03/19/14, 05/21/14, 07/29/2015 I. DEFINITION Ambulance service means a ground, sea or air vehicle

More information

317:30-5-327. SoonerRide non-emergency non-ambulance transportation services for eligible Medicaid recipients residing in nursing facilities (a)

317:30-5-327. SoonerRide non-emergency non-ambulance transportation services for eligible Medicaid recipients residing in nursing facilities (a) 317:30-5-327. SoonerRide non-emergency non-ambulance transportation services for eligible Medicaid recipients residing in nursing facilities (a) Access to non-emergency non-ambulance transportation through

More information

VENDOR QUESTIONS. Broker for NEMT Services for Fee for Service Population

VENDOR QUESTIONS. Broker for NEMT Services for Fee for Service Population RFI YH1-000 PAGE 1 Phoenix, Arizona 50 1. 2... 5. NA NA NA NA NA Background of Project Purpose NA In order to properly calculate the estimated annual Program expenditure, can provide the total number of

More information

Clinical Medical Policy Ambulance Transportation

Clinical Medical Policy Ambulance Transportation The intent of this policy is to provide criteria to determine medical necessity for ambulance transportation when authorization is required. for Medicaid Products including: RIte Care, Substitute Care,

More information

MEDICAL TRANSPORTATION PROCEDURES

MEDICAL TRANSPORTATION PROCEDURES MEDICAL TRANSPORTATION PROCEDURES TABLE OF CONTENTS. GENERAL.......... INFORMATION.................. AND..... CONTACTS............................................................ 282....... Distance.........

More information

Ambulance Policy. November 2007! No. 2007-75. Clarification of Wisconsin Medicaid Policy. Documentation Requirements

Ambulance Policy. November 2007! No. 2007-75. Clarification of Wisconsin Medicaid Policy. Documentation Requirements November 2007! No. 2007-75 To: Ambulance Providers HMOs and Other Managed Care Programs Ambulance Policy This Wisconsin Medicaid and BadgerCare Update clarifies existing policies and announces new Wisconsin

More information

1. Transportation Services

1. Transportation Services Table of Contents 1.... 1 1.1. Introduction... 1 1.1.1. Non-Emergency Record Keeping Requirements... 1 1.2. Ambulance... 1 1.3. Non-Emergent Transportation (NET)... 1 1.3.1. Freedom of Choice... 1 1.3.2.

More information

Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited

Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited Your instructor Levels of Service National Academy of Ambulance Coding Steve Wirth Founding Partner, Page, Wolfberg & Wirth LLC Over 30 years experience as an EMT, Paramedic, Flight Medic, EMS Instructor,

More information

Transportation for health care appointments just got easier with

Transportation for health care appointments just got easier with Transportation for health care appointments just got easier with Molina Medicare! With Molina Medicare Options Plus HMO SNP Plan, we offer the added benefit of non-emergency transportation to get you to

More information

Strategies for Each Payer Type. Medicare: Part 1. Medicare Coverage. Medicare. Medicare Requirements. Reimbursable Events

Strategies for Each Payer Type. Medicare: Part 1. Medicare Coverage. Medicare. Medicare Requirements. Reimbursable Events Strategies for Each Payer Type Medicare: Part 1 Medicare Medicaid Commercial Insurance Auto Insurance Private Pay Contracts Medicare Largest Payer for Ambulance Services Coverage Rules Fee Schedule Medicare

More information

8/12/2015. Non-Emergency Medical Transportation. Objective. Goals. Presentation. At the conclusion of this presentation, participants will:

8/12/2015. Non-Emergency Medical Transportation. Objective. Goals. Presentation. At the conclusion of this presentation, participants will: Non-Emergency Medical Transportation Presentation Objective At the conclusion of this presentation, participants will: Recognize the Medicaid rules of nonemergency medical transportation (NEMT) and how

More information

What does LogistiCare do?

What does LogistiCare do? Hawaii Health Plans Who is LogistiCare? LogistiCare is a transportation management company with operation centers nationwide. LogistiCare is directly responsible for managing over 2 million transports

More information

Subject: Transportation Services: Ambulance and Nonemergent Transport

Subject: Transportation Services: Ambulance and Nonemergent Transport UniCare Health Plan of West Virginia, Inc. Medicaid Managed Care Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: 03/01/15 Committee Approval Obtained:

More information

January March 31, 2015 Ambulance Fee Schedule Public Use Files

January March 31, 2015 Ambulance Fee Schedule Public Use Files Background January March 31, 2015 Ambulance Fee Schedule Public Use Files The Ambulance Fee Schedule was implemented on April 1, 2002. The accompanying public use files reflect updates effective for ambulance

More information

Chapter. CPT only copyright 2015 American Medical Association. All rights reserved. 9 Ambulance

Chapter. CPT only copyright 2015 American Medical Association. All rights reserved. 9 Ambulance 9 Ambulance Chapter 9 9.1 Enrollment........................................................................ 9-2 9.2 General Information............................................................... 9-2

More information

Frequently Asked Questions from Medical Practitioners

Frequently Asked Questions from Medical Practitioners Frequently Asked Questions from Medical Practitioners How can the Facility Department help? LogistiCare maintains a Facility Services Department dedicated to handling the non-emergency medical transportation

More information

Division of Medical Services

Division of Medical Services Division of Medical Services Program Planning & Development P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437 501-682-8368 Fax: 501-682-2480 TO: Arkansas Medicaid Health Care Providers Transportation

More information

London & Area Transportation Information SENIORS COMMUNITY ASSOCIATION

London & Area Transportation Information SENIORS COMMUNITY ASSOCIATION Did You Know? The cost of operating a car includes depreciation, maintenance, insurance and gas. A very conservative estimate of those annual costs is = $4,780 a year, which does not include licensing

More information

Archived SECTION 19 - PROCEDURE CODES. Section 19 - Procedure Codes

Archived SECTION 19 - PROCEDURE CODES. Section 19 - Procedure Codes SECTION 19 - S 19.1 PRIOR CONTENTS NO LONGER APPLICABLE... 2 19.2 S... 2 19.2.A BASIC LIFE SUPPORT (BLS) BASE RATE... 2 19.2.B ADVANCED LIFE SUPPORT (ALS) BASE RATE... 3 19.2.C SPECIALIZED TESTING AND

More information

Final Adoption 6/26/08 114.3 CMR 27.00: AMBULANCE SERVICES. Section

Final Adoption 6/26/08 114.3 CMR 27.00: AMBULANCE SERVICES. Section 114.3 CMR 27.00: AMBULANCE SERVICES Section 27.01: General Provisions 27.02: General Definitions 27.03: General Rate Provisions and Maximum Fees 27.04: Filing and Reporting Requirements 27.05: Severability

More information

How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.

How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida. 1 How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.com 2 Training Objectives Provide an overview of the Florida Medicaid

More information

FEE-FOR-SERVICE PROVIDER MANUAL CHAPTER 14 TRANSPORTATION

FEE-FOR-SERVICE PROVIDER MANUAL CHAPTER 14 TRANSPORTATION REVISION DATES: 01/28/2015 clarification 14-10, 14-11, 08/28/2014, 04/17/2014, 03/18/2014, 12/11/2013 Emergency Transportation Services AHCCCS covers emergency ground and air ambulance transportation services,

More information

Chapter 27 Non-Emergency Medical Transportation Services

Chapter 27 Non-Emergency Medical Transportation Services Chapter 27 Non-Emergency Medical Transportation Services Overview This chapter provides information on South Country Health Alliance s (SCHA) coverage for Transportation Services. Definitions Access Transportation

More information

Subject: Transportation Services: Ambulance and Non-Emergent Transport

Subject: Transportation Services: Ambulance and Non-Emergent Transport Reimbursement Policy Subject: Transportation Services: Ambulance and Non-Emergent Transport Effective Date: 01/01/15 Committee Approval Obtained: 01/01/15 Section: Transportation ***** The most current

More information

Telephone Number - 53-003n Person authorized to file tariff on behalf of Carrier Name

Telephone Number - 53-003n Person authorized to file tariff on behalf of Carrier Name WASHINGTON METROPOLITAN AREA TRANSIT COMMISSION GENERAL TARIFF COVER General Tariff No. GT- 3 Cancels General Tariff No. GT- Date Filed at WMATC - 9- Date Effective MAR 1 7 2004 1. WMATC Certificate of

More information

ADVOCATES OF QUALITY MEDICAL TRANSPORTATION

ADVOCATES OF QUALITY MEDICAL TRANSPORTATION ADVOCATES OF QUALITY MEDICAL TRANSPORTATION 137 Lark Street, Albany, NY 12210 Office: (518) 433-1600 Fax: (518) 433-1601 www.albanycdmt.com I would like to take this opportunity to thank you for considering

More information

Archived SECTION 19 - PROCEDURE CODES. Section 19 - Procedure Codes

Archived SECTION 19 - PROCEDURE CODES. Section 19 - Procedure Codes SECTION 19 - S 19.1 PRIOR CONTENTS NO LONGER APPLICABLE...2 19.2 S...2 19.2.A BASIC LIFE SUPPORT (BLS) BASE RATE...2 19.2.B ADVANCED LIFE SUPPORT (ALS) BASE RATE...3 19.2.C SPECIALIZED TESTING AND TREATMENT...3

More information

Chapter 27 Non-Emergency Transportation Services

Chapter 27 Non-Emergency Transportation Services Chapter 27 Non-Emergency Transportation Services Overview This chapter provides information on South Country Health Alliance s (SCHA) coverage for Transportation Services. Definitions Access Transportation

More information

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY Original Issue Date (Created): 7/1/2002 Most Recent Review Date (Revised): 1/27/2015 Effective Date: 6/1/2015 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER

More information

Reimbursement Policy. Subject: Transportation Services: Ambulance and Nonemergent Transport. Policy

Reimbursement Policy. Subject: Transportation Services: Ambulance and Nonemergent Transport. Policy Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: 12/06/10 Committee Approval Obtained: 08/18/14 Section: Transportation *****The most current version

More information

TransLink Medical Transportation Brokerage Member Program Guide

TransLink Medical Transportation Brokerage Member Program Guide TransLink Medical Transportation Brokerage Member Program Guide Updated January 2015 TransLink 239 E. Barnett Rd, Medford, Oregon 97501 (541) 842-2060 Toll Free 1-888-518-8160 Oregon Relay Service - 711

More information

Welcome to the LogistiCare (LGTC) Web Seminar:

Welcome to the LogistiCare (LGTC) Web Seminar: Welcome to the LogistiCare (LGTC) Web Seminar: Access Medicare Affinity Health Plan Amerigroup New York Elderplan New York / Homefirst New York Nassau County DSS Senior Whole Health New York United Healthcare

More information

Florida Medicaid AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS HANDBOOK

Florida Medicaid AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS HANDBOOK Florida Medicaid AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS HANDBOOK Agency for Health Care Administration August 2013 UPDATE LOG AMBULANCE TRANSPORTATION SERVICES COVERAGE AND LIMITATIONS

More information

NEW YORK STATE MEDICAID TRANSPORTATION CITY OF NEW YORK TRANSPORTATION ORDERING GUIDELINES MANUAL

NEW YORK STATE MEDICAID TRANSPORTATION CITY OF NEW YORK TRANSPORTATION ORDERING GUIDELINES MANUAL NEW YORK STATE MEDICAID TRANSPORTATION CITY OF NEW YORK TRANSPORTATION ORDERING GUIDELINES MANUAL Table of Contents INTRODUCTION... 2 SECTION I COVERED TRANSPORTATION SERVICES... 3 SECTION II RULES FOR

More information

AMBULANCE TRANSPORTATION GROUND

AMBULANCE TRANSPORTATION GROUND AMBULANCE TRANSPORTATION GROUND Policy NHP reimburses licensed ambulance providers for the provision of medically necessary ambulance ground transportation in a medical emergency for NHP members in accordance

More information

Nursing Homes and Non-emergency Medical Transportation

Nursing Homes and Non-emergency Medical Transportation Nursing Homes and Non-emergency Medical Transportation Agenda Modes of Non-emergency Medical Transportation. Non-emergency Medical Transportation Coordination (NEMT). Options for Common Carrier Transportation.

More information

Medical Policy Original Effective Date: 02-28-2000 Revised Date: 01-27-16 Page 1 of 5. Ambulance Services MPM 1.1 Disclaimer.

Medical Policy Original Effective Date: 02-28-2000 Revised Date: 01-27-16 Page 1 of 5. Ambulance Services MPM 1.1 Disclaimer. Page 1 of 5 Ambulance Services Disclaimer Description Coverage Determination Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all

More information

Chapter 1 Section 14

Chapter 1 Section 14 General Chapter 1 Section 14 Issue Date: August 26, 1985 Authority: 32 CFR 199.4(d)(3)(v), 32 CFR 199.14(j)(1)(i)(A), and 10 USC 1079(h)(1) 1.0 APPLICABILITY This policy is mandatory for reimbursement

More information

NON-EMERGENCY MEDICAL TRANSPORT of NEW YORK CITY FEE-FOR SERVICE MEDICAID and MANAGED MEDICAID ENROLLEES

NON-EMERGENCY MEDICAL TRANSPORT of NEW YORK CITY FEE-FOR SERVICE MEDICAID and MANAGED MEDICAID ENROLLEES NON-EMERGENCY MEDICAL TRANSPORT of NEW YORK CITY FEE-FOR SERVICE MEDICAID and MANAGED MEDICAID ENROLLEES WEBINAR PRESENTATION www.nycmedicaidride.net What is LogistiCare (LGTC)? 1. LGTC is a transportation

More information

NON-EMERGENCY MEDICAL TRANSPORTATION

NON-EMERGENCY MEDICAL TRANSPORTATION NON-EMERGENCY MEDICAL TRANSPORTATION Brief Coverage Statement Non-Emergency Medical Transportation (NEMT) is provided as an administrative service for Colorado Medical Assistance Program (Colorado Medicaid)

More information

CY 2013 Ambulance Fee Schedule Public Use Files

CY 2013 Ambulance Fee Schedule Public Use Files Background CY 2013 Ambulance Fee Schedule Public Use Files The Ambulance Fee Schedule was implemented on April 1, 2002. The accompanying public use files reflect updates effective for ambulance claims

More information

On and After December 1, 2015 Logisticare Solutions, LLC Nassau County 844-678-1106 Logisticare Solutions, LLC Suffolk County 844-678-1106

On and After December 1, 2015 Logisticare Solutions, LLC Nassau County 844-678-1106 Logisticare Solutions, LLC Suffolk County 844-678-1106 NON-EMERGENT TRANSPORTATION BENEFIT Medicaid Transportation Benefit Update As part of the work of the Medicaid Redesign Team under the New York State Department of Health, the non-emergency medical transportation

More information

Non-Emergent Medical Transportation Program Guide. Reservations 503-315-5544 888-315-5544. Fax: 503-315-5514

Non-Emergent Medical Transportation Program Guide. Reservations 503-315-5544 888-315-5544. Fax: 503-315-5514 Non-Emergent Medical Transportation Program Guide Reservations 503-315-5544 888-315-5544 Fax: 503-315-5514 Table of Content Introduction....1 Client Eligibility....2 Scheduling a Ride....3 When to be Ready....5

More information

Memorandum City of Lawrence Fire Medical

Memorandum City of Lawrence Fire Medical Memorandum City of Lawrence Fire Medical TO: FROM: Craig Weinaug, County Administrator Diane Stoddard, Interim City Manager Chief Mark Bradford CC: Sara Plinsky, Assistant County Administrator Casey Toomay,

More information

CHAPTER 50 TRANSPORTATION MANUAL

CHAPTER 50 TRANSPORTATION MANUAL CHAPTER 50 TRANSPORTATION MANUAL 1 TABLE OF CONTENTS SUBCHAPTER 1. GENERAL PROVISIONS 10:50-1.1 Scope... 10:50-1.2 Definitions... 10:50-1.3 General policies for participation... 10:50-1.4 Services covered

More information

Eligibility Molina Dual Options MyCare Ohio Medicare-Medicaid Plan Central West Central Southwest Southwest: West Central: Central:

Eligibility Molina Dual Options MyCare Ohio Medicare-Medicaid Plan Central West Central Southwest Southwest: West Central: Central: Molina Dual Options MyCare Ohio Transportation Benefit Provider Services Molina Healthcare June 2015 Eligibility Molina Dual Options MyCare Ohio Medicare-Medicaid Plan is a health plan that contracts with

More information

Prepared By: Health Care Committee REVISED:

Prepared By: Health Care Committee REVISED: SENATE STAFF ANALYSIS AND ECONOMIC IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) BILL: SB 874 Prepared By: Health Care Committee

More information

PRIVATE AIR AMBULANCE RATE SCHEDULE

PRIVATE AIR AMBULANCE RATE SCHEDULE PRIVATE GROUND AMBULANCE UNIFORM RATE SCHEDULE (Effective June 30, 2006) BASIC LIFE SUPPORT ADVANCED LIFE SUPPORT BASIC LIFE SUPPORT - EMERGENCY Base Rate (per trip**) 6.00 $380.00 $358.67 Mileage (per

More information

New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members

New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members The Online Handbook has not yet been revised to include information contained in this Update. Update April 2011 No. 2011-24 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other

More information

Transportation Services

Transportation Services INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Transportation Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 5 0 P U B L I S H E D : F E B R U A R Y 2 5, 2 0 1 6

More information

10/9/2015. J6: Illinois State Ambulance Association. Today s Presenter. Disclaimer. J6 Provider Outreach and Education Consultant

10/9/2015. J6: Illinois State Ambulance Association. Today s Presenter. Disclaimer. J6 Provider Outreach and Education Consultant J6: Illinois State Ambulance Association October 2015 Add doc ctrl no. Today s Presenter J6 Provider Outreach and Education Consultant Carolyn S Henson CPC,CAC,CACO,CPC-I AAPC I-10 Instructor 2 Disclaimer

More information

Division of Medicaid and Health Financing Updated July 2013 SECTION 2 MEDICAL TRANSPORTATION. Table of Contents

Division of Medicaid and Health Financing Updated July 2013 SECTION 2 MEDICAL TRANSPORTATION. Table of Contents SECTION 2 MEDICAL TRANSPORTATION Table of Contents 1 MEDICAL TRANSPORTATION SERVICES (Updated 7/1/13)... 3 1-1 Credentials for Transportation Providers... 3 1-2 Verifying Medicaid Eligibility... 4 1-3

More information

Overview of the Connecticut Non-Emergency Medical Transportation Program

Overview of the Connecticut Non-Emergency Medical Transportation Program Supplement 4 to page 9(e) of ATTACHMENT 3.1-A Page 1 SERVICES PROVIDED TO THE CATEGORICALLY NEEDY Overview of the Connecticut Non-Emergency Medical Transportation Program 1. Introduction The Department

More information

Issued and entered this 23 rd day of December 2009 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND

Issued and entered this 23 rd day of December 2009 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND In the matter of STATE OF MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC GROWTH OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation XXXXX Petitioner

More information

Non-Emergency Transportation Services RFP #20091016. Responses to Submitted Questions

Non-Emergency Transportation Services RFP #20091016. Responses to Submitted Questions Non-Emergency Transportation Services RFP 20091016 s to Submitted s 1 1.29 40 Section 1.29 states that the Offeror must have two years experience in providing or brokering transportation services. Can

More information

Handbook for Providers of Transportation Services

Handbook for Providers of Transportation Services Handbook for Providers of Transportation Services Chapter T-200 Policy and Procedures for Transportation Services Illinois Department of Healthcare and Family Services CHAPTER T-200 Medical Transportation

More information

STATEMENT OF EMERGENCY 907 KAR 1:061E

STATEMENT OF EMERGENCY 907 KAR 1:061E STATEMENT OF EMERGENCY 907 KAR 1:061E (1) This emergency administrative regulation is being promulgated to increase ambulance transportation reimbursement in order to offset fuel price increases. This

More information

Ambulance Services. Medicaid and Other Medical Assistance Programs

Ambulance Services. Medicaid and Other Medical Assistance Programs Ambulance Services Medicaid and Other Medical Assistance Programs March 2015 This publication supersedes all previous Ambulance Services manuals. Published by the Department of Health and Human Services,

More information

Transportation, Fee-for-Service Table of Contents

Transportation, Fee-for-Service Table of Contents Transportation, Fee-for-Service Table of Contents John R. Kasich, Governor John B. McCarthy, Director Ohio Department of Medicaid The Electronic Publishing Unit makes every attempt to publish accurate

More information

CY 2012 Ambulance Fee Schedule Public Use Files

CY 2012 Ambulance Fee Schedule Public Use Files Background CY 2012 Ambulance Fee Schedule Public Use Files The Ambulance Fee Schedule was implemented on April 1, 2002. The accompanying public use files reflect updates effective for ambulance claims

More information

Title XIX Non-Emergency Medical Transportation (NEMT)

Title XIX Non-Emergency Medical Transportation (NEMT) Title XIX Non-Emergency Medical Transportation (NEMT) 02/2015 1 Title XIX Non-Emergency Medical Transportation (NEMT) The Title XIX Non-Emergency Medical Transportation (NEMT) program provides reimbursement

More information

The Virginia Department of Medical Assistance Services. Division of Health Care Services. Emergency Air Ambulance Rates

The Virginia Department of Medical Assistance Services. Division of Health Care Services. Emergency Air Ambulance Rates The Virginia Department of Medical Assistance Services Division of Health Care Services Rates Effective with Dates of Service October 31, 2009 and Before Emergency Air Ambulance Rates (Fee For Service)

More information

DATE: June 2, 1992. DISTRIBUTION: Medical Assistance Staff Child/Teen Health Plan Staff Transportation Unit Staff Staff Development Coordinators

DATE: June 2, 1992. DISTRIBUTION: Medical Assistance Staff Child/Teen Health Plan Staff Transportation Unit Staff Staff Development Coordinators +-----------------------------------+ ADMINISTRATIVE DIRECTIVE TRANSMITTAL: 92 ADM-21 +-----------------------------------+ DIVISION: Medical TO: Commissioners of Assistance Social Services SUBJECT: Transportation

More information

TN No: 09-007 Supersedes Approval Date: 01/21/10 Eff. Date: 07/01/09 TN No: 07-003

TN No: 09-007 Supersedes Approval Date: 01/21/10 Eff. Date: 07/01/09 TN No: 07-003 Section 23, Page 1 23. Any other medical care and any other type of remedial care recognized under State law, specified by the Secretary. a. Transportation 1. AMBULANCE- Ambulance Transportation services

More information

Intermediaries/Carriers

Intermediaries/Carriers Department of Health and Program Memorandum Human Services (DHHS) Intermediaries/Carriers HEALTH CARE FINANCING ADMINISTRATION (HCFA) Transmittal AB-00-88 Date: SEPTEMBER 18, 2000 CHANGE REQUEST 1281 THE

More information

MEDICAL ASSISTANCE TRANSPORTATION PROGRAM GUIDELINES

MEDICAL ASSISTANCE TRANSPORTATION PROGRAM GUIDELINES MEDICAL ASSISTANCE TRANSPORTATION PROGRAM GUIDELINES 2 MEDICAL ASSISTANCE TRANSPORTATION PROGRAM GUIDELINES BERKS AREA REGIONAL TRANSPORTATION AUTHORITY 1700 NORTH 11 TH STREET READING, PA 19604 PHONE

More information

TRANSPORTATION SERVICES. A Guide for Seniors: Finding the Right Transportation Option for You. Parkway Senior Center. Provided by:

TRANSPORTATION SERVICES. A Guide for Seniors: Finding the Right Transportation Option for You. Parkway Senior Center. Provided by: TRANSPORTATION SERVICES A Guide for Seniors: Finding the Right Transportation Option for You Provided by: Parkway Senior Center 220 Memorial Parkway (315) 223-3973 Public Transit Paratransit Volunteer

More information

Invitation to Bid for Medical Assistance Transportation BID # 201302 Non Emergency Ambulance Transportation

Invitation to Bid for Medical Assistance Transportation BID # 201302 Non Emergency Ambulance Transportation Invitation to Bid for Medical Assistance Transportation BID # 201302 Non Emergency Ambulance Transportation Issuing Agency: Purpose of RFP: Queen Anne s County Department of Health 206 North Commerce Street

More information

8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC, 1-1-14]

8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC, 1-1-14] TITLE 8 SOCIAL SERVICES CHAPTER 324 ADJUNCT SERVICES PART 7 TRANSPORTATION SERVICES AND LODGING 8.324.7.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.324.7.1 NMAC - Rp, 8.324.7.1 NMAC,

More information

NEW YORK STATE MEDICAID TRANSPORTATION NEW YORK CITY TRANSPORTATION ORDERING GUIDELINES

NEW YORK STATE MEDICAID TRANSPORTATION NEW YORK CITY TRANSPORTATION ORDERING GUIDELINES NEW YORK STATE MEDICAID TRANSPORTATION NEW YORK CITY TRANSPORTATION ORDERING GUIDELINES Table of Contents INTRODUCTION... 2 SECTION I COVERED TRANSPORTATION SERVICES... 3 SECTION II RULES FOR ORDERING...

More information

Welcome to the LogistiCare seminar on arranging non-emergency medical transportation (NEMT) services for Medicaid and BadgerCare Plus members, except

Welcome to the LogistiCare seminar on arranging non-emergency medical transportation (NEMT) services for Medicaid and BadgerCare Plus members, except Welcome to the LogistiCare seminar on arranging non-emergency medical transportation (NEMT) services for Medicaid and BadgerCare Plus members, except those residing in a nursing home, or enrolled in the

More information

Ohio Medicaid Program

Ohio Medicaid Program Ohio Medicaid Program A Compliance Audit by the: Medicaid/Contract Audit Section May 2009 AOS/MCA-09-007C May 26, 2009 Greg Beauchemin, President/CEO 25400 West Eight Mile Road Southfield, Michigan 48034

More information

FACT SHEET. Non-Emergency Medical Transportation (NEMT): A Fact Sheet For Case Managers and Medicaid Beneficiaries February 2009

FACT SHEET. Non-Emergency Medical Transportation (NEMT): A Fact Sheet For Case Managers and Medicaid Beneficiaries February 2009 FACT SHEET Non-Emergency Medical Transportation (NEMT): A Fact Sheet For Case Managers and Medicaid Beneficiaries February 2009 This reference sheet is designed to provide at-a-glance information for Case

More information

NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL POLICY GUIDELINES

NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL POLICY GUIDELINES NEW YORK STATE MEDICAID PROGRAM TRANSPORTATION MANUAL POLICY GUIDELINES Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION... 4 QUALIFICATIONS OF AMBULANCE PROVIDERS CATEGORY OF SERVICE 0601...

More information

Handbook for Providers of Transportation Services

Handbook for Providers of Transportation Services Handbook for Providers of Transportation Services Chapter T-200 Policy and Procedures for Transportation Services Illinois Department of Healthcare and Family Services CHAPTER T-200 Medical Transportation

More information

206 Capitol Street -3 rd Flr Charleston, WV 25301 P. 304-544-9733 chris@wvemscoalition.com

206 Capitol Street -3 rd Flr Charleston, WV 25301 P. 304-544-9733 chris@wvemscoalition.com July 24, 2015 WV Bureau for Medical Services Transportation 350 Capitol Street, Room 251 Charleston, WV 25301 BMS.comments@wv.gov RE: Transportation, Chapter 524, and appendix To Whom It May Concern: The

More information

New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members

New Non-emergency Medical Transportation Management System for Wisconsin Medicaid and BadgerCare Plus Members Update April 2011 No. 2011-24 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Non-emergency Medical Transportation Management System for Wisconsin

More information

Information Memorandum Transmittal

Information Memorandum Transmittal Information Memorandum Transmittal Donald Ross, Manager DMAP Policy and Planning Section Number: DMAP IM 12-083 Authorized Signature Issue Date: 9/10/2012 Topic: Medical Benefits Subject: Provider announcements:

More information

Division of Medicaid and Health Financing SECTION 2 MEDICAL TRANSPORTATION. Table of Contents

Division of Medicaid and Health Financing SECTION 2 MEDICAL TRANSPORTATION. Table of Contents Division of Medicaid and Health Financing Updated July 2015 SECTION 2 MEDICAL TRANSPORTATION Table of Contents 1 MEDICAL TRANSPORTATION SERVICES... 3 1-1 Credentials for Transportation Providers... 3 1-2

More information

205 GROUND AMBULANCE TRANSPORTATION REIMBURSEMENT GUIDELINES FOR NON-CONTRACTED PROVIDERS

205 GROUND AMBULANCE TRANSPORTATION REIMBURSEMENT GUIDELINES FOR NON-CONTRACTED PROVIDERS 205 GROUND AMBULANCE TRANSPORTATION REIMBURSEMENT GUIDELINES FOR NON-CONTRACTED PROVIDERS EFFECTIVE DATE: 05/01/2006, 04/01/2013 REVISION DATE: 04/04/2013 STAFF RESPONSIBLE FOR POLICY: DHCM ADMINISTRATION

More information

Non-Emergency Medical Transportation Services

Non-Emergency Medical Transportation Services Request for Proposals for Non-Emergency Medical Transportation Services Proposal Number RFP-DSSOC03-07 Orange County Department of Social Services David Jolly, Commissioner 11 Quarry Road Goshen, NY 10924

More information

When you document an incident, you are writing for several different audiences. There s the legal audience the number of records requests we receive

When you document an incident, you are writing for several different audiences. There s the legal audience the number of records requests we receive 1 When you document an incident, you are writing for several different audiences. There s the legal audience the number of records requests we receive from attorneys continues to grow. There s the patient

More information

Transportation Providers serving Illinois

Transportation Providers serving Illinois St. Louis Chapter 24/7 Helpline: 800.272.3900 www.alz.org/stl serving 38 counties in Eastern MO and Western IL Please Note: It is important that your loved one receive quality care. The information is

More information

503-962-8700 Toll Free: 1-800-899-8726 Oregon Relay Service (TTY): 7-1-1 Fax: 503-962-8718

503-962-8700 Toll Free: 1-800-899-8726 Oregon Relay Service (TTY): 7-1-1 Fax: 503-962-8718 503-962-8700 Toll Free: 1-800-899-8726 Oregon Relay Service (TTY): 7-1-1 Fax: 503-962-8718 Table of Contents Introduction... 1 Client Eligibility... 1 Selecting a Medical Provider... 1 Scheduling a Ride...

More information