Public Notice: 2023 Ambulance Rates

PUBLIC NOTICE

Department of Health Services

Adjustment to Medicaid Fee-for-Service Ambulance Rates: Effective February 1, 2023

The Wisconsin Department of Health Services (DHS) Division of Medicaid Services (DMS) will be implementing a rate adjustment to fee-for-service ambulance Medical Assistance (MA) maximum fee rates, effective February 1, 2023.

The impacted ambulance fee-for-service procedure codes are listed below:

February 1, 2023 Ambulance Rates Adjustment

HCPCs Code

HCPCs Code Description

Rates Feb 17, 2022

Rates Feb 1, 2023

A0225

NEONATAL EMERGENCY TRANSPORT

$ 456.10

$ 501.71

A0380

BASIC LIFE SUPPORT MILEAGE

$ 8.22

$ 9.04

A0382

BASIC SUPPORT ROUTINE SUPPLS

$ 21.78

$ 23.96

A0384

BLS DEFIBRILLATION SUPPLIES

$ 21.78

$ 23.96

A0390

ADVANCED LIFE SUPPORT MILEAGE

$ 8.22

$ 9.04

A0392

ALS DEFIBRILLATION SUPPLIES

$ 44.81

$ 49.29

A0394

ALS IV DRUG THERAPY SUPPLIES

$ 37.34

$ 41.07

A0396

ALS ESOPHAGEAL INTUB SUPPLS

$ 37.34

$ 41.07

A0398

ALS ROUTINE DISPOSBLE SUPPLS

$ 21.78

$ 23.96

A0420

AMBULANCE WAITING 1/2 HR

$ 34.06

$ 37.47

A0422

AMBULANCE 02 LIFE SUSTAINING

$ 21.78

$ 23.96

A0424

EXTRA AMBULANCE ATTENDANT

$ 34.06

$ 37.47

A0425

GROUND MILEAGE

$ 6.94

$ 7.63

A0426

ALS 1

$ 253.31

$ 278.64

A0427

ALS1-EMERGENCY

$ 401.06

$ 441.17

A0428

BLS

$ 211.08

$ 232.19

A0429

BLS-EMERGENCY

$ 337.74

$ 371.51

A0430

FIXED WING AIR TRANSPORT

$ 2,927.11

$ 3,219.82

A0431

ROTARY WING AIR TRANSPORT

$ 3,403.20

$ 3,743.52

A0433

ALS 2

$ 580.48

$ 638.53

A0434

SPECIALTY CARE TRANSPORT

$ 686.02

$ 754.62

A0435

FIXED WING AIR MILEAGE

$ 8.31

$ 9.14

A0436

ROTARY WING AIR MILEAGE

$ 22.16

$ 24.38

A0999

UNLISTED AMBULANCE SERVICE

$ 29.87

$ 32.86

Fiscal Impact

This change to Medicaid, and BadgerCare Plus is projected to result in increased annual expenditures of $6,573,504 all funds (AF), composed of $3,944,103 federal match (FED) and $2,629,402 state funds/general purpose revenue (GPR), effective February 1, 2023 – January 31, 2024.

Copies of Changes

Copies of the state plan change may be obtained free of charge by calling or writing as follows:

Mail:

Matt deLaBruere

Bureau of Fiscal Accountability and Management

Division of Medicaid Services

P.O. Box 309

Madison, WI 53701-0309

Phone:

[phone]

Fax:

[phone]

Attention: Matt deLaBruere

E-Mail:

[e-mail]

Copies of the state plan change will be made available for review at the main office of all county departments of social services or human services.

Written Comments

Written comments are welcome. Written comments on the proposed changes may be sent by fax, e‑mail, or regular mail to the Division of Medicaid Services as described above. All written comments will be reviewed and considered.

The written comments will be available for public review between the hours of 7:45 a.m. and 4:30 p.m. Tuesday - Thursday in the State Office Building, 1 West Wilson Street, Madison, Wisconsin. Revisions may be made to the proposed rate change based on comments received.