Who is responsible for obtaining prior authorizations?
For non-emergency ambulance transportation services rendered to a client, ambulance providers may coordinate the nonemergency ambulance prior authorization request between the requesting provider, which may ...
When should I apply for a prior authorization?
You should always apply for and obtain a prior authorization before scheduling medical transportation.
What should I do if the patient does not meet medical necessity requirements?
You should consider alternate transportation such as a wheelchair van, taxi, Uber or friends and family.
If a prior authorization is not obtained, can the ambulance provider bill the patient?
No, the healthcare facility is responsible for payment.
How long is a prior authorization good for?
Prior authorizations are only good for the date you specify on the prior authorization request form.
How long does it take to get an approval or denial?
Medicaid programs in Texas generally take 24-72 hours to receive an approval or denial.
Does non-emergency transportation require a prior authorization?
Yes, all non-emergency transports require a prior authorization.
Do emergency transportation require a prior authorization?
No, emergencies do not require a prior authorization.
Can you obtain a 60 day authorization good for multiple trips?
Yes, you can obtain a prior authorization for patients with recurring appointments.
