Conn. Agencies Regs. § 17-2-83
Revised Ambulance Rates to be Reimbursed by the Department of Social Services to Ambulance Companies for Services Rendered to Title XIX (Medicaid) Recipients.
Base Rate | $49.00 | Note a | |
Mileage | $ 1.75 | Note b | |
Procedure | Not Specified | Note f | |
17001 | Oxygen & Mask | $10.00 | |
17003 | Resuscitator | $10.00 | |
17004 | Suction Machine | $10.00 | |
17005 | Female Attendant | $18.50 | |
17006 | Waiting Time | $25.00 per hour | Note c |
17007 | Waiting Time (Additional) | $ 6.25 per one quarter hour | |
17008 | Cancelled Call | $25.00 | Note d |
17009 | Multiple Patients | Note e | By Report |
Note a. Base rate shall be applicable where both the origin and destination are within one town.
Note b. Mileage to be applied from point of origin of movement to any final destination outside town in which pick-up is made. Mileage to be determined from the P.U.C.A.'s Official Mileage Docket No. 6770.
Note c. Waiting time charges apply per hour. Additional waiting time beyond the first hour will be assessed in multiples of 15 minutes at the rate of $6.25 per quarter hour.
Note d. A charge for cancelled ambulance call will be assessed whenever such ambulance call is cancelled after an ambulance has been called for and dispatched to a home, hospital, or scene of accident.
Note e. Whenever multiple patients are carried in any one given ambulance, the base rate will be charged for each patient requiring medical attention. The other charges to be equally assessed against all patients transported are mileage, waiting time, and where applicable, female attendant.
Note f. Charges for loss of equipment used in transporting patients shall be assessed at actual cost, subject to proof of connection between loss of equipment and the transportation of patient.
Note g. There shall be no charges assessed for the transportation of non-patients as riders accompanying patients requiring ambulance service.
Conn. Agencies Regs. § 17-2-83