Spotlight Mandate: Reporting air ambulance information

BCBSND will be required to annually report certain air ambulance information to the Department of Health and Human Services (HHS) within 90 days of the end of a plan year.

Required information will include:

• Claims data for air ambulance services detailed by:
  • Whether services were for emergent or non-emergent care
  • Whether the provider of services is part of an independent program or part of some other program
  • Whether the services were furnished in a rural or urban area
  • Whether the provider of air ambulance services has a contract with the plan to furnish such services
  • Any other information requested by HHS

Who it applies to: Fully insured group, self-funded group health plans and individual policies. Does not include grandfathered plans.

Effective date: Plan years beginning on or after Jan. 1, 2022.

Action required: No member or employer group action is required at this time. BCBSND will make the required reporting to HHS.