Statutes, codes, and regulations
Code of Massachusetts Regulations
Department 101 CMR - EXECUTIVE OFFICE FOR HEALTH AND HUMAN SERVICES
Title 101 CMR 327.00 - Rates of Payment for Ambulance and Wheelchair Van Services
Section 327.03 - General Rate Provisions and Payment

101 CMR, § 327.03

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Current through Register 1536, December 6, 2024
Section 327.03 - General Rate Provisions and Payment
(1)Rate Determination. The rates for authorized ambulance and wheelchair van services under 101 CMR 327.00 are the lowest of:
(a) the eligible provider's usual fee to patients other than publicly-aided individuals; or
(b) the eligible provider's actual charge submitted; or
(c) the schedule of fees set forth in 101 CMR 327.03.
(2)Allowable Trip Fees for Ambulance Services.

Code

Allowable Fee

Description of Code

A0425

$6.45

Ground mileage, per statute mile (loaded mileage)

A0426

$250.65

Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)

A0427

$396.86

Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 -emergency)

A0428

$208.87

Ambulance service, basic life support, nonemergency transport (BLS)

A0429

$334.19

Ambulance service, basic life support, emergency transport (BLS-emergency)

A0430

$4,036.04

Ambulance service, conventional air services, transport, one way (fixed wing)

A0431

$4,036.04

Ambulance service, conventional air services, transport, one way (rotary wing)

A0433

$574.40

Advanced life support, level 2 (ALS 2)

A0434

$678.83

Specialty care transport (SCT)

A0170

I.C.

Transportation ancillary; parking fees, tolls, other (used only for ferry charges)

A0999

I.C.

Unlisted ambulance service. (Used for transporting patients who require special resources to be safely transported including, but not limited to, bariatric patients.)

(3)Billing Certification. Each eligible provider who submits an invoice to a governmental unit for authorized ambulance services must certify to the accuracy of the level of services provided, as listed on its invoice.
(4)Allowable Trip Fees for Wheelchair Van Services.

Code

Allowable Fee

Description of Code

A0130

$40.55

Nonemergency transportation; wheelchair van (each way)

S0215

$1.46

Nonemergency transportation; mileage, per mile (wheelchair van, loaded mileage)

T2001

$8.00

Nonemergency transportation; patient attendant/escort (wheelchair van, each way)

101 CMR, § 327.03

Adopted by Mass Register Issue 1412, eff. 3/6/2020.
Amended by Mass Register Issue 1451, eff. 8/20/2021.
Amended by Mass Register Issue 1456, eff. 8/20/2021.
Amended by Mass Register Issue 1461, eff. 1/21/2022.
Amended by Mass Register Issue 1482, eff. 11/1/2022 (EMERGENCY).
Amended by Mass Register Issue 1486, eff. 1/6/2023.
Amended by Mass Register Issue 1506, eff. 9/29/2023 (EMERGENCY).
Amended by Mass Register Issue 1512, eff. 9/29/2023 (EMERGENCY).
Amended by Mass Register Issue 1518, eff. 9/29/2023 (EMERGENCY).
Amended by Mass Register Issue 1522, eff. 5/24/2024.