67:16:25:02Ambulance

services covered. Ambulance services are limited to medically necessary ground ambulance services at the pick-up point and ground or air ambulances services transporting the recipient locally or to the nearest medical provider that is equipped or trained to provide the necessary service. The following services are eligible for payment if provided by a participating ambulance provider: (1) Ground ambulance service to or from a medical provider or between medical facilities if other means of transportation would endanger the life or health of the patient; (2) Air ambulance service if the requirements of § 67:16:25:02.01 have been met; (3) Services of additional attendants if medically necessary; (4) Oxygen provided during transit; (5) Loaded mileage. Mileage may not be billed for more than one patient per trip; and (6) The ground and air ambulance services payable under the provisions of § 67:16:25:03. Ground ambulances may provide secure medical transportation as defined in § 67:16:25:01. These services are payable under the provisions of §§ 67:16:25:05 and 67:16:25:08.01. The department may pay for transportation services not meeting the conditions of this section, if paying for the services results in an overall cost savings for the department.

Source: 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 234, effective July 1, 1990; 17 SDR 201, effective July 1, 1991; 35 SDR 253, effective May 12, 2009; 44 SDR 94, effective December 4, 2017; 46 SDR 50, effective October 10, 2019.