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TO: All Ambulance Providers
RE: Ambulance Reimbursement Rate Increase
Effective October 1, 2021, the rate for the following
ambulance service will increase as indicated below:
|
Procedure Code
|
Description
|
Rate
|
|
A0425
|
GROUND MILEAGE, PER STATUTE MILE
|
$6.74
|
|
A0427
|
AMBULANCE
SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 -
EMERGENCY)
|
$211.50
|
Effective on or after October
1, 2021, report the modifier “HE” on claims with ambulance procedure code A0428
(BLS) where the destination is a facility that provides mental health
or behavioral health services.
If you have any questions, please
contact Brandon Williams at Brandon.Williams@medicaid.alabama.gov
and Angela Johnson-Groves at Angela.Johnson-Groves@medicaid.alabama.gov.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2017 American Medical
Association and © 2017 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.