TMPPM 2009 > Texas Medicaid Services > Ambulance > Types of Transport

8.5 Types of Transport

8.5.1 Multiple Client Transports

Multiple client transports occur when more than one client with Medicaid coverage is transported in the same vehicle simultaneously. A claim for each client must be completed and must reference multiple transfers with the names and Medicaid numbers of other clients sharing the transfer in Block 19 of the CMS-1500 claim form. Providers must enter charges on a separate claim for each client. TMHP adjusts the payment to 80 percent of the allowable base rate for each claim and divides mileage equally among the clients who share the ambulance.

Important: Mileage determinations are based on the Official State Mileage Guide.

Refer to: "Claims Filing Instructions" .