All PlansBilling CodesMedium impact
10-20-05.xls
Pennsylvania Medicaid (DHS)·PA·Provider Bulletin
Effective date
Dec 1, 2005
We identified it
Jun 20, 2026
Summary
This policy establishes a code crosswalk for provider mileage reimbursement, mapping local code W0500 to national HCPCS code S0215 for non-emergency transportation mileage. The reimbursement rate is set at $0.10 per mile for home visits, skilled nursing facility visits, and ICF visits across different provider types and specialties.
Action Required
By December 1, 2005: Billing team must update system to use HCPCS code S0215 instead of local code W0500 for mileage reimbursement. Update billing software to reflect $0.10 per mile rate for non-emergency transportation to homes, skilled nursing facilities, and ICF locations. Ensure proper place of service codes (12, 31, 32) are used based on provider type.