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Pennsylvania Medicaid (DHS)All Plans · Billing Codes · Provider Bulletin · PAMedium impact

10-20-05.xls

Act
by Dec 1, 2005
Effective date
Dec 1, 2005
Identified
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.

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What to do

by Dec 1, 2005 · 3 steps
01Billing team must update system to use HCPCS code S0215 instead of local code W0500 for mileage reimbursement.
02Update billing software to reflect $0.10 per mile rate for non-emergency transportation to homes, skilled nursing facilities, and ICF locations.
03Ensure proper place of service codes (12, 31, 32) are used based on provider type.

Codes mentioned

W0500S0215

Original notice

10-20-05.xls
pa.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Pennsylvania Medicaid (DHS) changes →
Microsoft Word - 11-7-05.docMediumEffective Dec 1, 2005 · Provider BulletinMAB2023040401MediumEffective Apr 4, 2023 · Provider BulletinBrowse every Pennsylvania Medicaid (DHS) change in the policy list

Related policy hubs

Pennsylvania Medicaid (DHS) policiesPA policy changesCode W0500Code S0215

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