Update to Clinical Policy 15 Ambulance Services

Session Law 2018-5 Sec.11H.4 (see Appendix A) instructed the NC Department of Health and Human Services (DHHS) to submit to Centers for Medicare and Medicaid Services (CMS)for the necessary authority to establish Medicaid reimbursement for ambulance transports of Medicaid beneficiaries in behavioral health crisis to behavioral health clinics or other alternative locations effective July1, 2019. The policy has been updated to include reimbursement for ambulance transport to alternative location and will be posted on the NC Medicaid website for 30-day comment.

Note: This is a preview of the article that will appear in the September Medicaid Bulletin. Bulletins may be found on the DHB website.