55 Pa. Code § 1245.11 - Types of services covered

MA Program coverage for ambulance transportation is limited to the transportation of eligible recipients to their home, or to the nearest appropriate medical facility site only when the condition of the patient absolutely precludes another method of transportation, or to a nonhospital drug and alcohol detoxification or rehabilitation facility from a hospital when a recipient presents to the hospital for inpatient drug and alcohol treatment and the hospital has determined that the required services are not medically necessary in an inpatient facility.

Notes

55 Pa. Code § 1245.11

The provisions of this § 1245.11 adopted October 31, 1980, effective 11/1/1980, 10 Pa.B. 4257; amended November 24, 1995, effective 11/25/1995, and apply retroactively to November 1, 1995, 25 Pa. B. 5241.

The provisions of this § 1245.11 amended under sections 201(2) and 443.1(1) of the Public Welfare Code (62 P. S. §§ 201(2) and 443.1(1)).