A/B MAC - Ambulance Services for Indian Health Services (Rev. 2102, 04-04-11)

by  Jared Staheli, MPP
Jun 25th, 2015

Section 630 of the MMA allows for the reimbursement of ambulance services provided by IHS hospital-based ambulance providers, CAHs, and entities owned and operated by a CAH, for the 5 year period beginning January 1, 2005. Section 2902 of the Affordable Care Act indefinitely extends Section 630 of the MMA, retroactive to January 1, 2010. Effective January 1, 2005, claims for ambulance services submitted by hospital-based ambulance providers and CAHs shall be processed by the designated A/B MAC.

All claims processing requirements in Chapter 15 of Pub. 100-04, Medicare Claims Processing Manual, shall apply to ambulance service claims submitted by IHS hospitalbased ambulance providers and ambulance service claims submitted by IHS CAHs.