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Some Texas Medicaid Ambulance Services Reimbursement Rates Change
Information posted September 4, 2009: Effective for dates of service on or after September 1, 2009, Texas Medicaid reimbursement rates for some ambulance services have changed. Affected claims submitted for dates of service on or after September 1, 2009, will be reprocessed, and payments will be adjusted accordingly. No action on the part of the provider is necessary. Click on the title to view the details.

The following table includes the revised reimbursement rates for ambulance services that are effective for dates of service on or after September 1, 2009:

Type of Service

Procedure Code

Reimbursement

9

A0398

$20.30

9

A0425

$5.06

9

A0426

200.00

9

A0427

$306.75

9

A0428

$200.00

9

A0429

$258.31

9

A0430

$3,110.58

9

A0431

$3,616.51

9

A0433

$443.98

9

A0434

$524.70

9

A0435

$16.24

9

A0436

$23.53

 

For more information, call the TMHP Contact Center at 1-800-925-9126.

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