Statutes and Regulations

10.1.1 - Statutes and Regulations (Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09) Section 1861(s) (7) of the Social Security Act (Act) establishes an ambulance service as a Medicare Part B service. Payment for ambulance services is addressed at §1834(l) of the Act. Coverage rules are addressed at 42 Code of Federal Regulations (CFR) §410.40. Additional rules, including rules regarding vehicular and staffing requirements, are specified at 42 CFR §410.41. Payment rules under the fee schedule established in 2002 are specified at 42 CFR Part 414, Subpart H (§414.601 et seq.). Payment rules for ambulances services furnished by a critical access hospital (CAH) or by an entity owned and operated by a CAH are specified at 42 CFR §413.70(b)(5). Other general Medicare provisions apply to ambulance services. See Title XVIII of the Act and 42 CFR Parts 400 to 429 to determine applicability.