COVERED AND NONCOVERED SERVICES
§ 1245.11. Types of services covered.
MA Program coverage for ambulance transportation is limited to the transportation of eligible recipients to their home, or to the nearest appropriate medical facility site only when the condition of the patient absolutely precludes another method of transportation, or to a nonhospital drug and alcohol detoxification or rehabilitation facility from a hospital when a recipient presents to the hospital for inpatient drug and alcohol treatment and the hospital has determined that the required services are not medically necessary in an inpatient facility.
Authority The provisions of this § 1245.11 amended under sections 201(2) and 443.1(1) of the Public Welfare Code (62 P. S. § § 201(2) and 443.1(1)).
Source The provisions of this § 1245.11 adopted October 31, 1980, effective November 1, 1980, 10 Pa.B. 4257; amended November 24, 1995, effective November 25, 1995, and apply retroactively to November 1, 1995, 25 Pa. B. 5241. Immediately preceding text appears at serial page (177249).
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