MedicaidReimbursementMedium impact
Reminder: Ambulance transport and reimbursement policies during the COVID-19 emergency
Oregon Health Plan·OR · Emergency Medicine·Plan
Effective date
Jul 30, 2021
We identified it
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.
Action Required
Immediately: Billing 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. Update billing system to allow ambulance transport billing for COVID-19 positive patients accessing non-hospital care. For Medicare/Medicaid dual eligible patients, ensure Medicare is billed first with Medicaid as secondary.