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October 2014 CSHCN Services Program Provider Manual

9 Ambulance : Types of Transport : Extra Attendant

9.5.5 Extra Attendant
The use of an additional attendant must be related to extraordinary circumstances that prevent the basic crew from transporting a client safely. The extra attendant must be certified by the Department of State Health Services (DSHS) to provide emergency medical services.
Reasons an extra attendant may be required beyond the basic crew include, but are not limited to the following:
Necessity of additional special medical equipment or treatment en route to destination (Providers must describe what special treatment and equipment is required and why it requires an attendant.)
The CSHCN Services Program does not reimburse for an extra attendant based solely on an ambulance provider's internal policy.
The use of an extra attendant for air transport is not a benefit of the CSHCN Services Program. Reimbursement for an extra attendant (procedure code A0424) will be denied if billed with air transport (procedure codes A0430 or A0431).

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