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Non-Emergency Ambulance Providers pdf

Connecticut Medicaid (HUSKY Health)·CT · Emergency Medicine·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid now allows non-emergency ambulance providers to submit claims for services that previously required prior authorization but didn't receive it in advance, effective for services from January 1, 2018 forward. Providers must maintain detailed medical necessity documentation and refund any patient payments before billing Medicaid.

Action Required

Action needed
Immediately: Non-emergency ambulance providers must ensure complete medical necessity documentation is maintained for all transports, clearly describing member condition to justify ambulance transport over other methods. Billing team must verify any patient payments are refunded before submitting claims to Connecticut Medicaid. All claims are subject to audit by Department of Social Services.