TMPPM 2008 > Appendices > Medical Transportation > Medical Transportation

   
 

I.1.4 MTP Program Limitations

Clients and their attendants are not eligible to receive medical transportation services under the following circumstances (this list is not all-inclusive):

Emergency transportation or nonemergency ambulance services.

Transportation for children who are younger than 18 years of age and not accompanied by a parent or legal guardian, unless one of the following conditions exists:

The client is 15 through 17 years of age and provides a written consent for the transportation services, signed by the parents or legal guardian. The signed consent must be on file with MTP prior to the date of travel.

The treatment to which the minor is being transported is such that the law extends confidentiality to the minor for this treatment.

Transportation to or from a day activity health services facility, personal care home, state institution, nursing facility (unless the client requires dialysis treatment), or facility participating in another Title XIX Program for which the reimbursement rate structure includes transportation funds.

Transportation when the client or another person or entity providing care for the client receives direct payment of worker's compensation benefits, U.S. Department of Veterans Affairs benefits, or other third-party resources for transportation to health-care services on the client's behalf.

Transportation when the client is an inpatient in a health-care facility.

Transportation of deceased clients.

Transportation passenger assistance beyond that which is necessary to ensure that clients enter and exit vehicles safely.

Refer to: Title 1, Part 15, Chapter 380 of the Texas Administrative Code (TAC) for more information.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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