January 2, 2023
2023 Ambulance Fee Increases
Thank you for being a Health Partners Plans (HPP) participating provider and for your continued efforts to manage our members’ health.
Effective for dates of service on and after January 1, 2023, the Department of Human Services (DHS) will increase fees for certain ambulance transportation services.In turn, Health Partners Plans will update our Health Partners (Medicaid) and KidzPartners fee schedules to align with these changes.
The updated rates and associated procedure codes are listed in the following table:
|
Procedure Code |
Description |
Pricing Modifier |
Previous Fee |
New Fee |
|
A0425 |
Ground mileage, per statute mile |
U8 |
$2.00 per mile for each loaded mile beyond 20 loaded miles of a trip |
$4.00 per mile for each loaded mile beyond 20 loaded miles of a trip |
|
A0426 |
Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1) |
|
$300.00 |
$400.00 |
|
A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 -emergency) |
|
$300.00 |
$400.00 |
|
A0428 |
Ambulance service, basic life support, nonemergency transport, (BLS) |
|
$180.00 |
$325.00 |
|
A0429 |
Ambulance service, basic life support, emergency transport, (BLS, emergency) |
|
$180.00 |
$325.00 |
If you have questions, call HPP’s Provider Services Helpline at 1-888-991-9023 (Monday – Friday, 9 a.m. – 5:30 p.m.).