Reimbursement Policy Update: Ambulance Services

Effective June 28, 2020, Horizon NJ Health will implement the follow updates to the Ambulance Services reimbursement policy.

  • Fully Integrated Dual Eligible Special Needs Plans (FIDE-SNP) are eligible for non-emergent ALS and BLS transportation services, procedure codes A0427 and A0429.
  • Procedure code A0998 (ambulance response and treatment, no transport) will now be considered for payment to an ALS provider for responding and treating a member during an emergent call.
To be eligible for the reimbursement, providers must meet all requirements specified within the policy. To view the policy, visit Reimbursement Policies & Guidelines. For more information, call Provider Services at 1-800-682-9091.
Published on: June 24, 2020, 01:31 AM ET
Last updated on: June 24, 2020, 01:34 AM ET