23 Miss. Code. R. 201-3.1 - Non-Emergency Transportation (NET) Services Not Covered Under the Broker Program

A. The Division of Medicaid covers the following non-emergency transportation (NET) services outside of the Broker program:

1. NET ambulance hospital-to-hospital transports when medically necessary to the nearest appropriate facility that is able to care for the beneficiary, a certificate of medical necessity (CMN) is completed, and all services are provided in accordance with the requirements of the Bureau of Emergency Medical Services (BEMS), and

2. NET services covered as part of another benefit or service including, but not limited to, transportation provided:

a) To long-term care facility residents [Refer to Miss. Admin. Code Title 23, Part 207], and

b) By Prescribed Pediatric Extended Care (PPEC) centers.

B. The Division of Medicaid reimburses the following NET services outside of the Broker program:

1. NET ambulance hospital-to-hospital transports when medically necessary to the nearest appropriate facility that is able to care for the beneficiary, a certificate of medical necessity (CMN) is completed, and all services are provided in accordance with the requirements of the Bureau of Emergency Medical Services (BEMS), and

2. NET services covered as part of another benefit or service including, but not limited to, transportation provided:

a) To long-term care facility residents [Refer to Miss. Admin. Code Title 23, Part 207], and

b) By Prescribed Pediatric Extended Care (PPEC) centers.

Notes

23 Miss. Code. R. 201-3.1

42 C.F.R. § 440.170; Miss. Code Ann. §§ 43-13-117, 43-13-121.

Adopted 8/1/2018 Amended 2/1/2019