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December 2016 Texas Medicaid Provider Procedures Manual

Ambulance ServicesHandbook : 2 Ambulance Services : 2.2 Services, Benefits, Limitations, and Prior Authorization : 2.2.5 Types of Transport : 2.2.5.5 * Transports to or from Prescribed Pediatric Extended Care Centers (PPECC)

2.2.5.5
Non-emergency ambulance transports between a client’s home and a PPECC are not covered.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.