Washington Administrative Code
Title 182 - Health Care Authority
WASHINGTON APPLE HEALTH
Chapter 182-546 - Transportation services
GROUND EMERGENCY MEDICAL TRANSPORTATION (GEMT)
Section 182-546-0800 - Ambulance transportation- Provided in another state or US territory-Payment

(1) The medicaid agency pays for emergency ambulance transportation provided to clients who are in another state or U.S. territory according to the provisions of WAC 182-501-0180, 182-501-0182, and 182-502-0120.

(2) To receive payment from the agency, an out-of-state ambulance provider must:

(3) The agency pays for emergency ambulance transportation provided out-of-state for eligible clients when the transport is:

(4) The agency does not pay for an ambulance transport provided in another state for a client when:

(5) The agency pays for emergency ambulance transportation at the lower of:

(6) The agency does not pay for nonemergency (ground or air ambulance) transportation outside the state of Washington (i.e., both origin and destination points are outside the state's borders).

(7) An ambulance provider who transports a client to a facility outside the state (excluding designated bordering cities or brings a client into the state from a location outside the state (excluding designated border cities) must obtain prior authorization from the agency for a nonemergency transport in order to be paid. See WAC 182-546-4000 for transports under the ITA.