Transports to and from Medical Services for Beneficiaries who

10.3.4 – Transports to and from Medical Services for Beneficiaries who are not Inpatients (Rev. 14, 05-28-04) A3-3114.C.3, HO-236.3.C, AB-00-127, B3-2120.3C Ambulance transports to and from a covered destination (i.e., two 1-way trips) furnished to a beneficiary who is not an inpatient of a provider for the purpose of obtaining covered medical services are covered, if all program requirements for coverage are met. In addition, coverage of ambulance transports to and from a destination under these circumstances is limited to those cases where the transportation of the patient is less costly than bringing the service to the patient. For frequent transports of this kind subject to the A/B MAC (A)’s or (B)’s discretion, additional information may be required supporting the need for ambulance services relative to the option of admission to a treatment facility. Specialized services are covered services that are not available at the facility in which the beneficiary is a patient.