Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 6142 (September 30, 2023).

55 Pa. Code § 1245.55. Billing a recipient for noncompensable ambulance transportation.

§ 1245.55. Billing a recipient for noncompensable ambulance transportation.

 A MA client may be billed for ambulance transportation services only if all of the following conditions have been met:

   (1)  The provider determines that ambulance transportation is not covered by MA under the existing circumstances.

   (2)  The client or responsible party is informed before the service is rendered that he must pay for the service.

   (3)  The client or responsible party consents to receive the service and be responsible for the charges.


   The provisions of this 1245.55 adopted October 31, 1980, effective November 1, 1980, 10 Pa.B. 4257.

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