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Division of Community Support Services
Community Settings Final Rule
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Code of Maryland Regulations (COMAR)
Medicaid Provider Transmittals
COMMERCIAL AMBULANCE PROVIDER INFORMATION
Commercial ambulance providers can receive Medical Assistance reimbursement as listed below:
Medicare Ambulance Program where Medical Assistance will cover the co-insurance and deductible of a Medicare covered transport. Claims must be submitted on a CMS 1500 along with the Medicare EOB.
Non-Emergency Ambulance Transport: the local counties are responsible for contracting with local vendor (s) using their individual county procurement procedures. Ambulance providers, who wish to participate in the non-emergency ambulance transport of Medical Assistance recipients, should contact the
office in the county or counties they wish to serve.
To participate in the Medicare Ambulance Program, providers must become a Maryland Medical Assistance provider. Applications can be obtained from the Provider Enrollment unit at 410-767-5340. Please include a copy of your state ambulance license with the application.
EMERGENCY AMBULANCE TRANSPORT-PROVIDER INFORMATION
Maryland Medical Assistance will cover emergency medical transport service when an ambulance is dispatched from a 911 Call Center, which transports a recipient from the incident to the hospital. Medical Assistance will pay $100 per transport, whether advanced life support (ALS) or basic life support (BLS). The program does not reimburse for mileage. To be eligible for reimbursement, providers must:
Be a public entity or a volunteer fire, rescue or emergency medical service. Commercial Ambulances are not eligible to participate.
Enroll as a Maryland Medical Assistance provider. Interested Providers can obtain an application from the Provider Enrollment Unit at 410-767-5340
Certify that all third-party payers are routinely billed for services
Submit a state license to verify your status as a provider. Maryland State volunteer services and municipal EMS providers are not required to submit a license.
201 W. Preston Street, Baltimore, MD 21201-2399
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