COMMERCIAL AMBULANCE PROVIDER INFORMATION
Commercial ambulance providers can receive Medical Assistance reimbursement as listed below:
- Medicare Ambulance Program where Medical Assistance will cover the co-insurance and deductible of a Medicare covered transport. Claims must be submitted on a CMS 1500 along with the Medicare EOB.
- Non-Emergency Ambulance Transport: the local counties are responsible for contracting with local vendor (s) using their individual county procurement procedures. Ambulance providers, who wish to participate in the non-emergency ambulance transport of Medical Assistance recipients, should contact the Local Transportation office in the county or counties they wish to serve.
To participate in the Medicare Ambulance Program, providers must become a Maryland Medical Assistance provider. Applications can be obtained from the Provider Enrollment unit at 410-767-5340. Please include a copy of your state ambulance license with the application.
EMERGENCY AMBULANCE TRANSPORT-PROVIDER INFORMATION
Maryland Medical Assistance will cover emergency medical transport service when an ambulance is dispatched from a 911 Call Center, which transports a recipient from the incident to the hospital. Medical Assistance will pay $100 per transport, whether advanced life support (ALS) or basic life support (BLS). The program does not reimburse for mileage. To be eligible for reimbursement, providers must:
- Be a public entity or a volunteer fire, rescue or emergency medical service. Commercial Ambulances are not eligible to participate.
- Enroll as a Maryland Medical Assistance provider. Interested Providers can obtain an application from the Provider Enrollment Unit at 410-767-5340
- Certify that all third-party payers are routinely billed for services
- Submit a state license to verify your status as a provider. Maryland State volunteer services and municipal EMS providers are not required to submit a license.
