Medicare ambulance services are typically a Part B covered benefit; however, in some situations, it may be covered by Part A. An ambulance transport benefit is a transport provided by an ambulance to beneficiary by land, water or air.

Access the below ambulance related information from this page.

Billing - Access details on claim form completion, fees, mileage requirements, appropriate modifiers, beneficiary death, transports and refusal, and services provided outside the United States

Coverage - Access coverage information on transport levels of service, aborted flights, bed-confinement, destinations, and documentation requirements

Destinations: Covered/Noncovered - View transport destination coverage requirements

Enrollment - Learn how to enroll and supporting documentation needed.

Medicare Ground Ambulance Data Collection System - Effective January 1, 2020 and continuing through 2024, ground ambulance providers and suppliers that have been selected to participate in the Medicare Ground Ambulance Data Collection System must collect information on cost, utilization, revenue, and other service characteristics in accordance with the Medicare Ground Ambulance Data Collection Instrument for a continuous 12-month period.

Providers vs Suppliers - View identifying differences

Vehicles - View vehicle equipment requirements and access staffing requirements for such vehicles

Resources

• CMS Ambulance Fee Schedule
• CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 6, Section 20.3.1
• CMS Change Request (CR) 7058 - Ambulance Service Definitions
• CMS CR 7161 - Air Ambulance Services
• Sections 1861(e)(1) or 1861(j)(1) of the Social Security Act