A claim for secure medical transportation service must be submitted at the provider's usual and customary charge.

A provider may bill for services only if a recipient has been transported. A provider may not bill for any portion of a secure medical transportation service during which the recipient was not physically present in the secure medical transportation vehicle.

A provider may not submit a claim for in-town mileage. If an extra patient was transported with the recipient, the provider must add the modifier "TK" to the procedure code being billed. If a hospital arranged for the transfer, the provider must add the modifier "QM" to the procedure code being billed.

Source: 16 SDR 234, effective July 1, 1990; 17 SDR 4, effective July 16, 1990; 20 SDR 214, effective June 20, 1994; 35 SDR 253, effective May 12, 2009; 44 SDR 94, effective December 4, 2017.

General Authority: SDCL 28-6-1 (1)(2)(4) .

Law Implemented: SDCL 28-6-1 (1)(2)(4) .

Prior versions effective: 2009-05-12.