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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

55 Pa. Code § 1245.51. General payment policy.


§ 1245.51. General payment policy.

 (a)  Payment is made for medically necessary ambulance transportation services subject to the conditions and limitations established in this chapter, and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies). Payment for transportation other than by ambulance is made through the MA Transportation Program, administered by the Office of Social Programs in accordance with §  175.23(b)(2) and (3) (relating to requirements).

 (b)  Ambulance services which obtain Voluntary Ambulance Service Certification (VASC) from the Department of Health will be reimbursed at a higher rate than non-VASC certified services, as listed in Chapter 1150.


   The provisions of this §  1245.51 adopted October 31, 1980, effective November 10, 1980, 10 Pa.B. 4257; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. 4418; amended October 18, 1991, effective October 19, 1991 and apply retroactively to August 1, 1989, 21 Pa.B. 4951. Immediately preceding text appears at serial pages (131132) to (131133).

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