Prior authorization

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Prior authorization program for repetitive, scheduled non-emergent ambulance transports (RSNAT)

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program…

Attention exempt hospital outpatient departments (OPDs): Revised additional documentation request (ADR) letters

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.

Attention exempt hospital outpatient departments (OPDs): Revised additional documentation request (ADR) letters

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.

Provider documentation tool for non-emergent ambulance transportation

This article is designed to assist medical providers with documenting the beneficiary’s medical condition supporting coverage for non-emergent ambulance transportation.