1. (1) The department shall reimburse a ground ambulance provider an enhanced rate for any ground emergency medical transport and mileage up to the level approved by the Centers for Medicare and Medicaid Services.

2. (2)(a) The reimbursement rate may not exceed the emergency medical services ambulance rates published and periodically updated in Rule R911-8 or the provider's usual and customary charge to private pay individuals.

   1. (b) A provider may not bill Medicaid more than the provider's usual and customary charge to private pay individuals.

KEY: Medicaid

Date of Last Change: May 8, 2025

Notice of Continuation: April 7, 2025

Authorizing and Implemented or Interpreted Law: 26B-1-213; 26B-3-108; 26B-3-801