Medicaid reimbursement rates to be increased for ambulance services

Published: Jun. 22, 2022 at 2:59 PM EDT
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BRIDGEPORT, W.Va (WDTV) - At the direction of Gov. Jim Justice, the West Virginia DHHR plans to submit a State Plan Amendment to seek approval to raise ground ambulance medical transportation services to 100% of the Medicare geographic prevailing fee.

This will provide approximately 208 ambulance providers with a 10% increase in their reimbursement rates and an estimated additional $11.8 million per fiscal year.

“This is important for West Virginia’s Medicaid Program to ensure continued access to essential health care services,” said Cindy Beane, Commissioner of DHHR’s Bureau for Medical Services.

The Bureau for Medical Services anticipates this rate increase will be effective July 1, 2022.

The West Virginia EMS Coalition says this is a significant step towards stabilizing EMS agencies in the state.

The West Virginia EMS Coalition appreciates the continued leadership of Governor Jim Justice in addressing the crisis facing emergency medical services in West Virginia. The announcement by Governor Justice during Wednesday’s COVID briefing that Medicaid rates will be increased 10% to 100% of Medicare for ground ambulance service is a significant step towards stabilizing EMS agencies in West Virginia.

Workforce shortages and inadequate funding are plaquing emergency medical services nationally. But West Virginia is establishing itself as a leader in addressing this crisis. Governor Justice’s EMS initiative launched last week to recruit and educate EMS personnel along with enhanced Medicaid reimbursement rates are providing a roadmap that other states can follow to address the crisis.

The Justice administration has demonstrated a deep understanding of the challenges emergency medical services are facing and has taken unprecedented action to address them. More aid will be needed to strengthen EMS in our most rural communities, but we are confident that solutions will be found based on the growing support that we have received from the Governor and members of the West Virginia Legislature.

West Virginia EMS Coalition

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