TMPPM 2008 > Texas Medicaid Services > Ambulance > Medicare/Medicaid Coverage

8.6 Medicare/Medicaid Coverage

Medicaid is the secondary payor to other health insurance sources including Medicare. Ambulance claims for Medicaid and Medicare Part B claims must be filed with Medicare first.

MQMBs are eligible for Medicaid benefits such as ambulance transports. Qualified Medicare Beneficiaries (QMBs) are not eligible for Medicaid benefits. The Texas Medicaid Program is only required to pay for coinsurance and/or deductibles for QMBs. Therefore, providers should not request prior authorization for ambulance services for these clients.

Important: Providers must use national procedure codes when billing the Texas Medicaid Program.

Refer to: "Medicare/Medicaid Clients" .