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California

Medical Transportation Services.

22 CCR 51527

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26 segments

22 CCR 51527

22 CCR 51527

§ 51527. Medical Transportation Services. Procedure Code Maximum Allowance X0030 $118.20 X0032 X0002 X0034 X0004 X0006 X0036 X0008 X0010 X0012 Extra attendant--RN, EMT, or equivalent; (in addition to normal crew of two): X0014 X0016 X0018 X0020 By Report X0022 A0999 By Report A0430 $ 1,275.00 A0431 1,800.00 X0500 X0502 X0504 X0506 X0508 10% of loaded mileage charge X0510 X0512 X0514 X0516 X0518 X0522 By Report X0200 $17.65 X0202 X0204 X0206 X0208 X0210 X0212 X0214 X0216 X0218 X0220 X0222 By Report X0400 $107.16 X0402 X0404 X0406 X0408 X0410 X0412 X0414 X0416 By Report

(a)

General Provision.

(1)

The reimbursement for medical transportation services shall be in accordance with maximum reimbursement rates as follows: however, billing shall not exceed charges made to the general public.

(b)

Maximum reimbursement rates for medical transportation services shall be as follows:

107.

16

37.

02

16.

07

(2)

Air Ambulance Transportation

22.

10

100.

00

25.

00

9.

88

51.

49

13.

00

7.

00

14.

10

10.

01

6.

13

(4)

Patient transfer from discharging acute care hospital to a receiving skilled nursing facility or intermediate care facility.

3.

55

26.

29

17.

65

1.

30

0.

89

11.

86

5.

52