September 24, 2021

State of Alabama
Press Release: Medicaid

Ambulance Reimbursement Rate Increase

PDF Version


TO:    All Ambulance Providers

 

RE:    Ambulance Reimbursement Rate Increase

 

 

Effective October 1, 2021, the rate for the following ambulance service will increase as indicated below:

 

Procedure Code

Description

Rate

A0425

 

GROUND MILEAGE, PER STATUTE MILE

 

$6.74

 

A0427

AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)

$211.50

 

 

Effective on or after October 1, 2021, report the modifier “HE” on claims with ambulance procedure code A0428 (BLS) where the destination is a facility that provides mental health or behavioral health services.

 

If you have any questions, please contact Brandon Williams at Brandon.Williams@medicaid.alabama.gov and Angela Johnson-Groves at Angela.Johnson-Groves@medicaid.alabama.gov.


 

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2017 American Medical Association and © 2017 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.








  • For more information, visit http://medicaid.alabama.gov
  • For more state-wide press releases, click here