MCO Contract Update RI EOHHS and Medicaid are in the process of establishing a new managed care contract. If you or a loved one currently have health coverage through RI Medicaid, it’s important to know that you don’t need to take any action at this time. When a new contract is in place, the State will send information about any next steps.
Ambulance Provider Representative: Andrea Rohrer Tel. (469) 897-4389 email: andrea.rohrer@gainwelltechnologies.com Updates Rate Increase EOHHS is implementing a rate increase for ambulance services as of date of service 7/1/23. The below procedure codes reflect this most recent update. Please begin billing at these rates in order to be reimbursed at these higher rates for dates of service 07/01/2023 and forward. Procedure Code Description Rate through 6/30/2023 7/1/2023 Rate- Forward A0427 with all modifiers AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 EMERGENCY) $69.95 $213.23 A0429 with all modifiers AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS EMERGENCY) $69.95 $179.56 Mileage Codes Effective February 25, 2012 the mileage codes (A0425 and A0021) for emergency medical transportation for Medicaid clients will be increased from $.50 per mile to $.56 per mile.