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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.2 Services, Benefits, Limitations, and Prior Authorization : 9.2.5 Ambulance Transport Services - Nonemergency

9.2.5
Nonemergency ambulance services require prior authorization in circumstances not involving an emergency. Facilities and other providers must request and obtain prior authorization before contacting the ambulance provider for nonemergency ambulance services.
Refer to:
Subsection 2.2.2, “Nonemergency Ambulance Transport Services,” in the Ambulance Services Handbook (Vol. 2, Provider Handbooks) for more information about ambulance services.
Subsection 5.1.8, “Prior Authorization for Nonemergency Ambulance Transport,” in Section 5, “Fee-for-Service Prior Authorizations” (Vol. 1, General Information) for more information about nonemergency ambulance transport prior authorization.

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