California Code of Regulations (Last Updated: August 6, 2014) |
Title 22. Social Security |
Division 3. Health Care Services |
Subdivision 1. California Medical Assistance Program |
Chapter 3. Health Care Services |
Article 7. Payment for Services and Supplies |
§ 51527. Medical Transportation Services.
Latest version.
- (a) General Provision.(1) The reimbursement for medical transportation services shall be in accordance with maximum reimbursement rates as follows: however, billing shall not exceed charges made to the general public.(b) Maximum reimbursement rates for medical transportation services shall be as follows:ProcedureMaximumCodeAllowance(1) Ambulance TransportationX0030Ambulance service, basic life support (BLS) baserate, emergency transport, one way (includesallowance for emergency run)$118.20X0032Non-emergency transportation, ambulance, baserate one way107.16X0002Response to call, 2 patients, each patient (doesnot include an allowance for emergency run)37.02X0034Ambulance service, (BLS) per mile, transportone way3.55X0004Night call -7:00 p.m. to 7:00 a.m.9.88X0006Emergency run9.88X0036Ambulance service, oxygen, administration andsupplies, life sustaining situation9.88X0008Neonatal intensive care incubator51.49X0010Waiting time over 15 min. -each 15 min.9.88X0012Compressed air for infant respirator10.23Extra attendant -RN, EMT, or equivalent; (in addition tonormal crew of two):X0014First hour16.44X0016Second and third hour, each hour11.51X0018Each additional hour5.25X0020Cost of IV fluids (invoice must be attached)By ReportX0022ECG in ambulance16.07A0999UnlistedBy Report(2) Air Ambulance TransportationA0430Ambulance service, conventional air services,transport, one way (fixed wing)$ 1,275.00A0431Ambulance service, conventional air services,transport, one way (rotary wing)1,800.00X0500Patient on board miles, helicopter, per mile22.10X0502Patient on board miles, fixed-wing, per mile14.25X0504Night call, 7:00 p.m. to 7:00 a.m.100.00X0506Waiting time over 15 minutes, each 15 minutes25.00X0508Federal excise tax for fixed-wing aircraft over6,000 pounds10% ofloadedmileagechargeX0510Oxygen -per tank9.88X0512Neonatal intensive care incubator51.49X0514Compressed air for infant respirator10.23X0516Administration of IV solution, 1000cc, includingtubing and other supplies13.00X0518Administration of IV solution, 500cc, includingtubing and other supplies7.00X0522Unlisted air transportationBy Report(3) Wheelchair Van and Litter Van TransportationX0200Response to call, nonlitter patient:1 patient$17.65X02022 patients, each patient14.10X02043 patients, each patient11.71X02064, or more patients, each patient10.01X0208Wheelchair use0.89X0210Response to call, litter patient in litter van26.29X0212Attendant5.52X0214Waiting time over 15 min. -each 15 min.5.65X0216Mileage one way -per mile1.30X0218Night call -7:00 p.m. to 7:00 a.m.6.13X0220Oxygen -per tank11.86X0222UnlistedBy Report(4) Patient transfer from discharging acute care hospital to a receiving skilled nursing facility or intermediate care facility.X0400Response to call, ambulance$107.16X0402Ambulance mileage, one way -per mile3.55X0404Response to call, litter patient in litter van26.29X0406Response to call, non-litter patient17.65X0408Litter van and wheelchair van mileage, one way -per mile1.30X0410Wheelchair use0.89X0412Oxygen -per tank11.86X0414Attendant5.52X0416UnlistedBy ReportHISTORY1. New subsection (b)(3) filed 4-11-84; effective thirtieth day thereafter (Register 84, No. 15). For prior history, see Register 81, No. 52.2. Amendment of subsection (b) filed 8-1-84 as an emergency; effective upon filing (Register 84, No. 31). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-84.3. Certificate of Compliance transmitted to OAL 11-27-84 and filed 12-27-84 (Register 84, No. 52).4. Amendment of subsection (b) filed 8-1-85 as an emergency; effective upon filing (Register 85, No. 32). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-85.5. Certificate of Compliance transmitted to OAL 11-20-85 and filed 12-27-85 (Register 85, No. 52).6. Editorial correction of printing error in subsection (b)(2) and History 4. (Register 91, No. 30).7. Amendment of subsection (b)(1), new subsection (b)(2) and amendment and redesignation of subsections (b)(3)-(b)(4) filed 9-25-92 as an emergency; operative 10-1-92 (Register 92, No. 40). A Certificate of Compliance must be transmitted to OAL 1-25-93 or emergency language will be repealed by operation of law on the following day.8. Certificate of Compliance as to 9-25-92 order transmitted to OAL 1-22-93 and filed 3-9-93 (Register 93, No. 11).9. Amendment of subsection (b)(1) filed 8-2-95 as an emergency; operative 8-2-95 (Register 95, No. 31). A Certificate of Compliance must be transmitted to OAL by 11-30-95 or emergency language will be repealed by operation of law on the following day.10. Certificate of Compliance as to 8-2-95 order transmitted to OAL 11-22-95 and filed 1-3-96 (Register 96, No. 1).11. Amendment of subsections (b)(1) and (b)(4) amendment of Note filed 3-1-99 as an emergency; operative 3-1-99 (Register 99, No. 10). A Certificate of Compliance must be transmitted to OAL by 6-29-99 or emergency language will be repealed by operation of law on the following day.12. Reinstatement of section as it existed prior to 3-1-99 emergency amendment by operation of Government Code section 11346.1(f) (Register 99, No. 33).13. Amendment of subsections (b)(1) and (b)(4) and amendment of Note filed 8-10-99 as an emergency; operative 8-10-99 (Register 99, No. 33). A Certificate of Compliance must be transmitted to OAL by 12-8-99 or emergency language will be repealed by operation of law on the following day.14. Certificate of Compliance as to 8-10-99 order transmitted to OAL 12-2-99 and filed 1-13-2000 (Register 2000, No. 2).15. Amendment of subsections (b)(1) and (b)(4) and amendment of Note filed 11-13-2000 as an emergency; operative 11-13-2000 (Register 2000, No. 46). A Certificate of Compliance must be transmitted to OAL by 3-13-2001 or emergency language will be repealed by operation of law on the following day.16. Certificate of Compliance as to 11-13-2000 order transmitted to OAL 3-13-2001 and filed 4-4-2001 (Register 2001, No. 14).17. Amendment of subsection (b)(2) filed 12-19-2001 as an emergency; operative 12-19-2001 (Register 2001, No. 51). A Certificate of Compliance must be transmitted to OAL by 4-18-2002 or emergency language will be repealed by operation of law on the following day.18. Certificate of Compliance as to 12-19-2001 order transmitted to OAL 4-9-2002 and filed 4-30-2002 (Register 2002, No. 18).19. Amendment of subsections (b)(3)-(4), new subsection (c) and amendment of Note filed 7-16-2002; operative rates for services provided on or after 8-1-2000 pursuant to Stats. 2000, c. 52, Items 4260-101-0001 and 0890 (Register 2002, No. 29).20. Certificate of Compliance as to 7-16-2002 order, including repealer of subsection (c), transmitted to OAL 11-12-2002 and filed 12-24-2002 (Register 2002, No. 52).
Note
Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14105 and 14136.5, Welfare and Institutions Code; Statutes of 1984, Chapter 258, Items 4260-106-001 and 890; Statutes of 1985, Chapter 111, Items 4260-106-001 and 890; Statutes of 1998, Chapter 324, Items 4260-101-0001 and 0890; Statutes of 1999, Chapter 50, Items 4260-101-0001 and 0890; and Statutes of 2000, Chapter 52, Items 4260-101-0001 and 0890.Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14105 and 14136.5, Welfare and Institutions Code; Statutes of 1984, Chapter 258, Items 4260-106-001 and 890; Statutes of 1985, Chapter 111, Items 4260-106-001 and 890; Statutes of 1998, Chapter 324, Items 4260-101-0001 and 0890; Statutes of 1999, Chapter 50, Items 4260-101-0001 and 0890; and Statutes of 2000, Chapter 52, Items 4260-101-0001 and 0890.