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Oregon Health PlanMedicaid · Reimbursement · Plan · OR · Emergency MedicineMedium impact

Reminder: Ambulance transport and reimbursement policies during the COVID-19 emergency

Act
immediately
Effective date
Jul 30, 2021
Identified
Jun 20, 2026

Summary

Oregon Health Authority increased reimbursement rates for ambulance 'Treat in Place' services (procedure code A0998) from the Aid Call rate to the ALS1 Base Rate of $420.62 during the COVID-19 emergency. The policy also allows non-emergent ambulance transport for COVID-19 positive patients accessing non-hospital care.

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What to do

immediately · 3 steps
01Billing team must update reimbursement rates for procedure code A0998 to match ALS1 Base Rate of A0427 ($420.62) for Oregon Health Plan members during COVID-19 emergency.
02Update billing system to allow ambulance transport billing for COVID-19 positive patients accessing non-hospital care.
03For Medicare/Medicaid dual eligible patients, ensure Medicare is billed first with Medicaid as secondary.

Codes mentioned

A0998A0427

Original notice

Reminder: Ambulance transport and reimbursement policies during the COVID-19 emergency
oregon.gov · Always check the source before changing claims.
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