Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1245 - AMBULANCE TRANSPORTATION
PAYMENT FOR AMBULANCE TRANSPORTATION SERVICES
Section 1245.51 - General payment policy
Current through Register Vol. 54, No. 12, March 23, 2024
(a) Payment is made for medically necessary ambulance transportation services subject to the conditions and limitations established in this chapter, and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies). Payment for transportation other than by ambulance is made through the MA Transportation Program, administered by the Office of Social Programs in accordance with § 175.23(b)(2) and (3) (relating to requirements).
(b) Ambulance services which obtain Voluntary Ambulance Service Certification (VASC) from the Department of Health will be reimbursed at a higher rate than non-VASC certified services, as listed in Chapter 1150.