5160-15-02.8 Medical transportation services: eligible providers.

(A) The following is in effect for providers who are enrolled after the effective date of this rule.

(1) Upon the completion of a signed medicaid provider agreement, any business or entity organized for the purpose of providing ground ambulance services may be enrolled as an ambulance provider and provide ground ambulance services under the Ohio medicaid program if the business or entity meets all of the requirements for participation set forth in paragraphs (A) and (B) of rule 5160-15-02 of the Administrative Code and has at least one ambulance vehicle.

(2) Upon the completion of a signed medicaid provider agreement, any business organized for the purpose of providing ambulette services may be enrolled as an ambulette provider and provide ambulette services under the Ohio medicaid program if the business or entity meets all the requirements for participation set forth in paragraphs (A) and (C) of rule 5160-15-02 of the Administrative Code and has at least one ambulette vehicle.

Ambulance providers may also be eligible providers of ambulette services and provide ambulette services under the Ohio medicaid program if they meet all the requirements for participation set forth in paragraphs (A), (B) and (C) of rule 5160-15-02 of the Administrative Code and have at least one ambulette vehicle.

(3) Upon the completion of a signed medicaid provider agreement, any business organized for the purpose of providing air ambulance services may be enrolled as an ambulance provider and provide air ambulance services under the Ohio medicaid program if the business or entity meets all the requirements for participation set forth in paragraphs (A) and (D) of rule 5160-15-02 of the Administrative Code and has at least one air ambulance vehicle.

(B) Effective on January 1, 2006, providers with a current valid provider agreement (i.e., enrolled prior to the effective date of this rule) must comply with paragraphs (A)(1) to (A)(3) of this rule. Prior to January 1, 2006, providers with a current valid provider agreement (i.e., enrolled prior to the effective date of this rule) must comply with paragraphs (A)(1) to (A)(3) of this rule except for the provision in paragraph (A)(1) of this rule to have at least one ambulance vehicle, for the provisions in paragraph (A)(2) of this rule to have at least one ambulette vehicle and for the provision in paragraph (A)(3) of this rule to have at least one air ambulance vehicle.

Effective: 12/31/2013
R.C. 119.032 review dates: 10/15/2013 and 12/31/2018
Promulgated Under: 119.03
Statutory Authority: 5164.02
Rule Amplifies: 5162.03 , 5164.02 , 5165.01 , 5165.47
Prior Effective Dates: 10/01/2003, 12/30/2005 (Emer), 03/27/2006, 07/31/2009 (Emer), 10/29/2009