Ambulance Prior Auth

The Prior Authorization Demonstration for South Carolina began on December 1, 2014 and is expanding to North Carolina, Virginia and West Virginia on January 1, 2016. Ambulance suppliers that are not institutionally (hospital) based that provide Part B Medicare covered ambulance services and are enrolled as an independent ambulance suppliers will be participants. Prior authorization is a process through which a request for affirmation of coverage is submitted for review before a service is rendered to a beneficiary and before a claim is submitted for payment. Prior authorization helps ensure that applicable coverage, payment and coding rules are met before services are rendered.

View our Prior Authorization website for more information about the program.

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Latest Articles

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Ambulance Fee Schedule and Medicare Transports CMS Booklet Open in New Window12/18/2020
Physician/Practitioner Letter Open in New Window12/11/2020
Ambulance Prior Authorization eServices Form (HCPCS A0427, A0429) Module Open in New Window08/13/2020
Update: Prior Authorization of Repetitive, Scheduled Non-Emergent Ambulance Transport 07/13/2020
Ambulance Fee Schedule and Medicare Transports CMS Booklet Open in New Window05/28/2020
Documentation Tips for Ambulance Providers: Paint the Picture 05/28/2020
Administrative Relief in Response to the 2019-Novel Coronavirus (COVID-19) Pandemic: Pausing Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model 04/01/2020
Jurisdiction M Part B Prior Authorization Extended Affirmation Teleconference Questions and Answers: August 14, 2019 09/24/2019
Extended Affirmation Period for Beneficiaries with Chronic Conditions Participating in the Repetitive, Scheduled Non-Emergent Ambulance Prior Authorization Model 08/28/2019
If Your Medicare Patient Requires Scheduled Repetitive Non-Emergent Ambulance Transport, This is Information You Need to Know 08/28/2019
Release of Beneficiary Information to Ambulance Providers of Repetitive Scheduled Non-Emergent Transports 08/28/2019
We're All In This Together Flyer - Dialysis Facilities 08/28/2019
Enhanced eServices Ambulance Prior Authorization Form 06/15/2018
We're All In This Together Flyer - Wound Care Facilities (WCF) 02/06/2018
Beneficiary Non-Affirmation Letter 01/16/2018
Frequently Asked Questions: Prior Authorization (PA) Repetitive Scheduled Non-Emergent Ambulance Transports 01/09/2018
Ambulance Prior Authorization Request Form 12/15/2017
Ambulance Prior Authorization Reminders 09/22/2017
Ambulance Suppliers of Repetitive Scheduled Non-Emergent Transports 09/22/2017
Non-Affirmed Code Crosswalk: Prior Authorization Request 09/22/2017
Physician Compliance: Ambulance Prior Authorization Documentation 07/28/2017
Ambulance Prior Authorization Documentation Decision Tool 07/19/2017
Letter for Patients with a Legal Representative for Repetitive Scheduled Non-Emergent Ambulance Transport Prior Authorization 07/19/2017
Important Lessons Learned About the Repetitive Scheduled Non-emergent Ambulance Prior Authorization Model 06/08/2017
Ambulance Mileage 04/18/2017
Prior Authorization of Repetitive Scheduled Non-Emergent Ambulance Transports 02/17/2016

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