Medicare Claims Processing Manual (Pub. 100-04), Ch. 15 § 20.1.3
Services Provided
20.1.3 - Services Provided
(Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09)
AB-03-106
Payment is based on the level of service provided, not on the vehicle used. Occasionally, local
jurisdictions require the dispatch of an ambulance that is above the level of service that ends up
being provided to the Medicare beneficiary. In this, as in most instances, Medicare pays only for
the level of service provided, and then only when the service provided is medically necessary.