Current through September 24, 2024
A. The Division of
Medicaid covers medically necessary emergency ground ambulance services which
meet the requirements of the Mississippi Bureau of Emergency Medical Services
(BEMS) including, but not limited to:
1.
Basic Life Support (BLS) Ground Ambulance Services which must include, but are
not limited to:
a) A BLS ambulance vehicle
with a BEMS permit, staffed with at least one (1) individual certified by BEMS
to provide services at or above the level of Emergency Medical Technician
(EMT),
b) A driver with a valid
Emergency Medical Services Driver Certificate from the state of
Mississippi,
c) Equipment and
supplies as required by BEMS,
d)
Services provided by an EMT within the scope of their practice as determined by
BEMS, and
e) Transportation from
the pick-up site to the nearest appropriate facility.
2. Advanced Life Support (ALS) Ground
Ambulance Services which must include, but are not limited to:
a) An ALS ambulance vehicle, with a BEMS
permit, staffed with at least one (1) individual certified by BEMS to provide
services at or above the level of Advanced EMT (AEMT),
b) A driver with a valid Emergency Medical
Services Driver Certificate from the state of Mississippi,
c) Equipment and supplies as required by
BEMS,
d) Services provided by an
AEMT and/or higher-level medical professional within the scope of their
practice(s) as determined by BEMS or the appropriate licensing and/or governing
board, and
e) Transportation from
the pick-up site to the nearest appropriate facility.
B. The Division of Medicaid covers
medically necessary emergency air ambulance services in a rotary-wing aircraft
that meet the requirements of BEMS which must include, but are not limited to:
1. An air ambulance aircraft, with a BEMS
permit, staffed commensurate with the mission statement and scope of care of
the medical transport service, as required and/or specified by BEMS.
2. A pilot who is certified in accordance
with current Federal Aviation Regulations (FARs) and meets the appropriate BEMS
requirements,
3. Equipment and
supplies as required by BEMS,
4.
Services provided by an air medical paramedic, registered nurse, and/or
licensed physician, or other air medical personnel as defined by BEMS,
and
5. Transportation from the
pick-up site to the nearest appropriate facility.
C. The Division of Medicaid covers emergency
or urgent air ambulance services in a fixed-wing aircraft which are medically
necessary and meet the requirements of BEMS including, but not limited to:
1. An air ambulance aircraft, with a BEMS
permit, staffed commensurate with the mission statement and scope of care of
the medical transport service, as required and/or specified by BEMS.
2. A pilot who is certified in accordance
with current FARs and meets the appropriate BEMS requirements,
3. Equipment and supplies as required by
BEMS,
4. Services provided by an
air medical paramedic, registered nurse, and/or licensed physician, or other
air medical personnel as defined by BEMS, and
5. Transportation from the pick-up site to
the nearest appropriate facility.
D. The Division of Medicaid covers medically
necessary neonatal emergency ambulance services that meet the requirements of
BEMS.
E. The Division of Medicaid
covers the following in addition to the emergency ambulance service base rate:
1. Ground ambulance mileage to the closest
appropriate facility when appropriate documentation is provided.
2. Air ambulance mileage to the closest
appropriate facility when appropriate documentation is provided.
3. Injectable drugs administered by licensed
or certified personnel acting within their scope of practice under the
direction of medical control, and/or
4. Discarded injectable drugs up to the
dosage amount indicated on the single-use vial or package label minus the
administered dose(s) if:
a) The drug or
biological is supplied in a single use vial or single-use package,
b) The drug or biological is actually
administered to the beneficiary to appropriately address his/her condition and
any unused portion is discarded,
c)
The amount wasted is recorded in the beneficiary's medical record,
d) The provider has written policies and
procedures regarding single-use drugs and biologicals and bills all payers in
the same manner, and
e) The amount
billed to the Division of Medicaid as a discarded drug is not administered to
another beneficiary or patient.
42 C.F.R. §§
410.40,
414.605; Miss. Code Ann
§§
41-59-29,
41-59-101,
43-13-117,
43-13-121; Miss. Admin. Code Title
15, Part 12.
