All ambulance services licensed under section 144E.10 are eligible for reimbursement under health plan companies. The commissioner shall require health plan companies to adopt the following reimbursement policies.
- (1) All scheduled or prearranged air and ground ambulance transports must be reimbursed if requested by an attending physician, nurse, or physician assistant, and, if the person is an enrollee in a health plan company, if approved by a designated representative of a health plan company who is immediately available on a 24-hour basis. The designated representative must be a registered nurse or a physician assistant with at least three years of critical care or trauma experience, or a licensed physician.
- (2) Reimbursement must be provided for all emergency ambulance calls in which a patient is transported or medical treatment rendered.
- (3) Special transportation services must not be billed or reimbursed if the patient needs medical attention immediately before transportation.