Ambulance Services

Ambulance services provide medically necessary treatment for Medicaid recipients.

  • Ambulance providers must be licensed by the state
  • Services include emergency and non-emergency ambulance transport by ground and air
  • Patients must be transported in a vehicle that has been inspected and issued a permit by the state
  • Transport is provided only if other means of transportation cannot support the patient’s medical state

Financial Information

Cost Report

Fee Schedules


Medical Request for Prior Approval (372-118)

More Information

State-to-State Ambulance Transportation Addendum 


Medical Assistance Clinical Section
Phone: 919-855-4260
Fax: 919-733-2796

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