Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 201 - Transportation Services
Chapter 1 - Emergency Transportation Services
Rule 23-201-1.4 - Non-Covered Emergency Ambulance Services
Universal Citation: MS Code of Rules 23-201-1.4
Current through September 24, 2024
The Division of Medicaid does not cover the following including, but not limited to:
A. Emergency ambulance transportation of a beneficiary:
1. To anywhere other than the nearest
appropriate facility that is able to care for the beneficiary,
2. Pronounced dead prior to the dispatch of
the ambulance by an individual who is licensed or otherwise authorized under
state law to pronounce death in the state where such pronouncement is made,
3. To a funeral home,
4. Due to a lack of alternative means,
5. For the convenience of the
beneficiary and/or beneficiary's family, and/or
6. For which medical necessity criteria has
not been satisfied.
B. Services that are not directly related to medically necessary emergency treatment of an illness or injury including, but not limited to:
1. Time spent waiting for the beneficiary,
2. Refusal of the beneficiary to
be transported after the ambulance arrives in response to an emergency, and/or
3. First-aid or other medical type
treatment provided by ambulance staff to a beneficiary who is not subsequently
transported to the closest appropriate facility,
C. Services provided to an individual not eligible for Medicaid,
D. Mileage beyond the nearest appropriate facility, or
E. Services not specifically listed as covered services.
Miss. Code Ann. §§ 43-13-117, 43-13-121.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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