Blue Cross Blue Shield of North Dakota (BCBSND) Medicaid Expansion is informing our NEMT provider community of some newly added billing resources for billing requirements to the Medicaid Expansion Non-Emergency Medical Transportation (NEMT) billing requirements webpage) .
Billing the appropriate type of fleet vehicle is important and is paid based on your vehicle enrollment and Medicaid Expansion contract.
Fleet vehicle definition:
- A taxi, also known as a cab, is a type of vehicle for hire with a driver, used by a single passenger or small group of passengers, often for a non-shared ride.
- A minibus is a small bus for eight to fifteen passengers.
- A wheelchair van is any van that has a wheelchair lift.
- A stretcher van is vehicle that contains a stretcher that is operated to accommodate an incapacitated person or person with a disability who does not require medical monitoring, aid, care, or treatment during transport.
Important Billing Reminders
- A typical transport involves one base rate per way.
- There are minimal exceptions to the base rates allowed.
- Modifier usage is important.
- Please reference the information above for the appropriate use of the modifier.
- For clarification on additional base rates for A0100, A0120 and A0130, contact the BCBSND Medicaid Expansion Provider Service Contact Center at 1-833-777-5779.
- When a transportation provider is traveling to a rural setting and the vehicle is empty, these are considered “unloaded miles.”
- "Unloaded miles" are only able to be billed after the first 15 miles.
- Providers can reference this information within their provider contract.
Questions?
Contact the BCBSND Medicaid Expansion Provider Service Contact Center at 1-833-777-5779.
