CMS approved MS SPA 20-0016 Emergency Ground Ambulance Reimbursement on November 9, 2020. SPA 20-0016 was submitted to allow the Division of Medicaid to revise the reimbursement methodology for emergency ground ambulance transportation. Emergency ground ambulance transportation base rate and mileage will be reimbursed based on the lesser of the provider’s usual and customary charge or a fee from a statewide uniform fee schedule set as of July 1, 2020 and effective for services provided on or after July 1, 2020, and is calculated as one hundred percent (100%) of the Medicare ambulance urban fee schedule in effect as of January 1, 2020. If a Medicare fee is not established, then the fee is set at one hundred percent (100%) of the Medicare fee for a comparable service effective July 1, 2020.
For more information read the approved SPA pages.
