R414-507-4. Payments to Ground Ambulance Providers

Latest version.

(1) Ground ambulance providers shall be reimbursed an enhanced rate for ground emergency medical transports up to the level approved by the Centers for Medicare and Medicaid Services.

(2) The reimbursement rate shall not exceed the ground ambulance rate published and periodically updated in Section R426-8-2 or the provider's usual and customary charge to private pay individuals. Providers shall not bill Medicaid more than the provider's usual and customary charge to private pay individuals.

                    
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