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8.7 Relation of Service to Time of Death
Medicaid benefits cease at the time of the client's death. However, if the client dies in the ambulance while en route to the destination, the Texas Medicaid Program covers the transport. If a physician pronounces the client dead after the ambulance is called, the Texas Medicaid Program covers the ambulance service (base rate plus mileage) to the point of pickup. Providers must indicate the date and time the client died in Block nine of the CMS-1500 claim form. If a physician or coroner pronounces the client dead before the ambulance is called, the service is not covered.
Equipment and non-disposable supplies are included in the base rate. These items are not separately reimburseable, and are considered part of another procedure. Therefore, equipment and supplies cannot be billed to the client.
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