Common use of Emergency Transportation Clause in Contracts

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxx, respiratory, circulatory and obstetrical emergencies. APPENDIX K October 1, 2004 K-28 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "Dial 911" emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October 1, 2004 K-29

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxx, respiratory, circulatory and obstetrical emergencies. APPENDIX K October 1, 2004 K-28 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "Dial 911" emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October 1, 2004 K-29K-29 PREPAID BENEFIT PACKAGE

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxx, respiratory, circulatory and obstetrical emergencies. APPENDIX K October 1, 2004 K-28 Emergency 0000 Xxxxxxxxx ambulance transportation is transportation to a hospital emergency room generated by a "Dial 911" emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October 1, 2004 K-29

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. : Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxxbums, respiratory, circulatory and obstetrical emergencies. APPENDIX K October OCTOBER 1, 2004 K-28 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "Dial 911" emergency system call or some other request for an immediate response to a medical emergency. : Because of the urgency of the transportation request, insurance coverage or other billing provisions BILLING PROVISIONS are not addressed until NOT ADDRESSED UNTIL after the THE trip is completedCOMPLETED. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit A COVERED BENEFIT and the Contractor is responsible RESPONSIBLE for paymentPAYMENT. APPENDIX K October OCTOBER 1, 2004 K-29

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-life- threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxx, respiratory, circulatory and obstetrical emergencies. APPENDIX K October 1, 2004 K-28 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "Dial 911" emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October 1, 2004 K-29

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxxburns, respiratory, circulatory and obstetrical emergencies. APPENDIX K October 1, 2004 K-28 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "Dial 911" emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October OCTOBER 1, 2004 K-29K-29 PREPAID BENEFIT PACKAGE III. DEFINITIONS OF NON-COVERED SERVICES The following services are excluded from the Contractor's Benefit Package, but are covered, in most instances, by Medicaid fee-for-service:

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxxbxxxx, respiratory, circulatory and obstetrical emergencies. APPENDIX K October January 1, 2004 K-28 2005 K-29 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "“Dial 911" ” emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October January 1, 2004 K-292005 K-30

Emergency Transportation. Emergency transportation can only be provided by an ambulance service including air ambulance service. Emergency ambulance transportation means the provision of ambulance transportation for the purpose of obtaining hospital services for an Enrollee who suffers from severe, life-threatening or potentially disabling conditions which require the provision of emergency medical services while the Enrollee is being transported. Emergency medical services means the provision of initial urgent medical care including, but not limited to, the treatment of trauma, xxxxxbums, respiratory, circulatory and obstetrical emergencies. APPENDIX K October 1, 2004 K-28 Emergency ambulance transportation is transportation to a hospital emergency room generated by a "“Dial 911" ” emergency system call or some other request for an immediate response to a medical emergency. Because of the urgency of the transportation request, insurance coverage or other billing provisions are not addressed until after the trip is completed. When the Contractor is capitated for this benefit, emergency transportation via 911 or any other emergency call system is a covered benefit and the Contractor is responsible for payment. APPENDIX K October January 1, 2004 K-292005 K-25 Prepaid Benefit Package