Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1245 - AMBULANCE TRANSPORTATION
COVERED AND NONCOVERED SERVICES
Section 1245.11 - Types of services covered

Universal Citation: 55 PA Code ยง 1245.11
Current through Register Vol. 54, No. 12, March 23, 2024

MA Program coverage for ambulance transportation is limited to the transportation of eligible recipients to their home, or to the nearest appropriate medical facility site only when the condition of the patient absolutely precludes another method of transportation, or to a nonhospital drug and alcohol detoxification or rehabilitation facility from a hospital when a recipient presents to the hospital for inpatient drug and alcohol treatment and the hospital has determined that the required services are not medically necessary in an inpatient facility.

The provisions of this § 1245.11 amended under sections 201(2) and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201(2) and 443.1(1)).

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