TMPPM 2010 > Ambulance Services Handbook > Ambulance Services > Services/Benefits, Limitations, and Prior Authorization > Nonemergency Ambulance Transport Services

2.2.2 Nonemergency Ambulance Transport Services

According to 1 TAC §354.1111, nonemergency transport is defined as ambulance transport provided by an ambulance provider for a Medicaid client to or from a scheduled medical appointment, to or from another licensed facility for treatment, or to the client's home after discharge from a hospital.

Nonemergency ambulance service is a benefit when the client has a medical condition such that the use of an ambulance is the only appropriate means of transportation (e.g., alternate means of transportation are medically contraindicated).

According to Human Resource Code (HRC) §32.024 (t), a Medicaid enrolled physician, nursing facility, health-care provider, or other responsible party is required to obtain authorization before an ambulance is used to transport a client in circumstances not involving an emergency.

Refer to: Appendix D: Medical Transportation (Vol. 1, General Information) for more information about the Medical Transportation Program.