MedicaidDocumentationLow impact
Updates to the Provider Certification Form for Rotary Wing Air Ambulance Transport
Maryland Medicaid·MD · Emergency Medicine, Critical Care·General Transportation
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has updated the Provider Certification Form for air ambulance transport, extending the signing deadline from the date of service to within 30 calendar days of service. The form is now available as a fillable electronic version and must be stored in medical records for 6 years.
Action Required
Immediately: Maryland providers using air ambulance transport must update workflows to ensure Provider Certification Forms are completed and signed within 30 calendar days of service (previously required same day). Download new fillable electronic form from Maryland Medicaid. Update medical record retention policies to store completed forms for minimum 6 years. Claims will be denied if forms are not completed within the 30-day timeframe.