No, emergencies do not require a prior authorization.
Yes, all non-emergency transports require a prior authorization.
Medicaid programs in Texas generally take 24-72 hours to receive an approval or denial.
Prior authorizations are only good for the date you specify on the prior authorization request form.
No, the healthcare facility is responsible for payment.
You should consider alternate transportation such as a wheelchair van, taxi, Uber or friends and family.
You should always apply for and obtain a prior authorization before scheduling medical transportation.
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 include a physician, nursing facility, healthcare provider, or other responsible party. Ambulance providers may assist in providing necessary information such as their National Provider Identifier (NPI) number, fax number, and business address to the requesting provider. However, the Non-emergency Ambulance Prior Authorization Request form must be signed and dated and submitted by the Medicaid-enrolled requesting provider, not the ambulance provider.