MedicaidReimbursementMedium impact
MAB2022111001
Pennsylvania Medicaid (DHS)·PA · Emergency Medicine·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) is significantly increasing ambulance service fees effective January 1, 2023. Basic life support transport increases from $180 to $325, advanced life support increases from $300 to $400, and mileage beyond 20 miles doubles from $2 to $4 per mile.
Action Required
Before January 1, 2023: Billing team must update fee schedules in billing system for Pennsylvania Medicaid ambulance services. Update A0425 mileage to $4.00 per mile beyond 20 miles, A0426/A0427 (ALS) to $400.00, and A0428/A0429 (BLS) to $325.00. Verify billing system reflects new rates for PA Medicaid claims to ensure proper reimbursement.