ARSD 67:16:25:08.01. Billing requirements -- Secure medical transportation

A claim for secure medical transportation service must be submitted at the provider's usual and customary charge. A provider may bill for services only if a recipient has been transported. A provider may not bill for any portion of a secure medical transportation service during which the recipient was not physically present in the secure medical transportation vehicle. A provider may not submit a claim for in-town mileage. If an extra patient was transported with the recipient, the provider must add the modifier "TK" to the procedure code being billed. If a hospital arranged for the transfer, the provider must add the modifier "QM" to the procedure code being billed.