FacebookTwitterLinkedInGoogle+RSS Feed
Fire EMSEMS TodayEMS Insider

Take Action to Protect Revenue


The Centers for Medicare and Medicaid Services (CMS) published a proposed rule in the Feb. 22„Federal Register that could further cut ambulance-service revenues by allowing states to enroll Medicaid patients in plans that would not pay for non-emergency medical transportation.

The State Flexibility for Medicaid Benefit Packages proposal would give states the right to enroll most Medicaid recipients in "benchmark" private-managed-care or preferred-provider plans. Noting that current law (42 CFR 431.53) requires states to provide Medicaid beneficiaries with "transportation to medically necessary services," CMS wrote: "Generally, private health insurance plans do not offer non-emergency medical transportation as a benefit to enrollees. It would be a strong disincentive for States to offer benchmark coverage through private health plans if States had to supplement benchmark benefit plans with additional transportation benefits. We are therefore proposing to exempt States that elect benchmark coverage from the transportation assurance requirement." CMS will accept comments until March 24.

Watch upcoming issues of the EMS Insider for more as this story evolves.

Download the proposed rule, which includes information on how to submit comments.

For more information,„contact Tristan North at the American Ambulance Association.


Medical Waste Not as Dangerous as its Stigma Suggests

Regulations are disproportionate to the risks involved.

How Illinois' Trauma and EMS System of Care Helped Shape the Industry

The modern era of EMS systems has been formed in large thanks to policies first developed in Illinois.

Understanding Why EMS Systems Fail

Learn to recognize trigger points that could ruin your system.

The Reasons Why EMS Systems Go Astray

Normalization of deviance doesn’t happen overnight.

LifeFlight’s Blood Transfusion Practices Affirmed by New Study

Research soon to be published in the Journal of the American College of Surgeons (JACS) shows that airlifted trauma victims who receive blood transfusions in...

Christian Martin-Gill Presents on Prehospital Evidence-Based Guidelines at EMS Today

Christian Martin-Gill, MD, MPH, NREMT-P, assistant professor of emergency medicine at the University of Pittsburgh and associate medical director of STAT Med...

Features by Topic

JEMS Connect




Blogger Browser

Today's Featured Posts

Featured Careers