Utah Admin. Code R414-507-4 - Payments to Ground Ambulance Providers
(1) The department shall reimburse a ground
ambulance provider an enhanced rate for any ground emergency medical transport
and mileage up to the level approved by the Centers for Medicare and Medicaid
Services.
(2)
(a) The reimbursement rate may not exceed the
emergency medical services ambulance rates published and periodically updated
in Rule R911-8 or the provider's usual and customary charge to private pay
individuals.
(b) A provider may not
bill Medicaid more than the provider's usual and customary charge to private
pay individuals.
Notes
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(1) Ground ambulance providers shall be reimbursed an enhanced rate for ground emergency medical transports up to the level approved by the Centers for Medicare and Medicaid Services.
(2) The reimbursement rate shall not exceed the ground ambulance rate published and periodically updated in Section R426-8-2 or the provider's usual and customary charge to private pay individuals. Providers shall not bill Medicaid more than the provider's usual and customary charge to private pay individuals.