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Transportation Manual Archive

Below are the previous versions of the Transportation Manual.

Version Manual Document Change Notes

2017– 2 (6/1/17)

Archived August 8, 2017

Fee Schedule (XLS 1313KB)  

2015– 1 (4/1/15)

Archived June 19, 2017

Medicaid Transportation Guidelines for New York City Medical Practitioners & Facilities (PDF 732KB)  

2015– 1 (10/1/15)

Archived June 13, 2017

Guidelines for Seeking Non-Medical Transportation of HARP Enrollees (PDF 171KB)  

2017– 1 (5/1/17)

Archived June 2, 2017

Transportation Fee Schedule (XLS 1.31MB)  

2016– 5 (12/31/16)

Archived May 18, 2017

Transportation Fee Schedule (XLS 1.32MB)  

2015 – 2 (12/1/15)

Archived April 23, 2017

Transportation Contact List   (PDF 107KB)  

2016– 4 (6/1/16)

Archived December 28, 2016

Transportation Fee Schedule (XLS 1.33MB)  

2016– 3 (4/1/16)

Archived June 14, 2016

Transportation Fee Schedule (XLS 1.3MB)  

2013 – 1 (6/28/13)

Archived May 26, 2016

Transportation Billing Guidelines (PDF 659KB)  

2016– 2 (3/31/16)

Archived April 6, 2016

Transportation Fee Schedule (XLS 1.29MB)  

2016– 1 (2/1/16)

Archived April 1, 2016

Transportation Fee Schedule (XLS 1.29MB)  

2016– 1 (3/15/16)

Archived April 1, 2016

Transportation Manual Policy (PDF 1.17MB)  

2014– 1 (9/15/14)

Archived March 16, 2016

Transportation Manual Policy (PDF 546KB)  

2015– 3 (10/1/15)

Archived February 2, 2016

Transportation Fee Schedule (XLS 1.29MB)  

2015– 1 (07/01/15)

Archived November 10, 2015

Transportation Contact List (PDF 110KB)  

2015– 2 (08/15/15)

Archived October 1, 2015

Transportation Fee Schedule (XLS 1,098KB)  

2015– 1 (05/15/15)

Archived September 3, 2015

Transportation Fee Schedule (XLS 1,292KB)  

2014– 4 (09/01/14)

Archived June 25, 2015

Transportation Contact List (PDF 97KB)  

2014– 4 (11/28/14)

Archived June 17, 2015

Transportation Fee Schedule (XLS 287KB)  

2014– 2 (09/01/14)

Archived April 6, 2015

Guidelines For New York City Medical Practitioners & Facilities (PDF 679KB)  

2014– 3 (07/17/14)

Archived December 9, 2014

Transportation Fee Schedule (XLS 281KB)  

2013– 2 (02/01/13)

Archived September 16, 2014

Policy Guidelines (PDF 450KB)  

2014– 3 (08/01/14)

Archived August 22, 2014

Transportation Contact List (PDF 84KB)  

2014– 1 (08/01/14)

Archived August 18, 2014

Guidelines For New York City Medical Practitioners & Facilities (PDF 691KB)  

2012– 3 (10/01/12)

Archived July 18, 2014

Guidelines For Medical Practitioners & Facilities (PDF 792KB)  

2014– 2 (04/11/14)

Archived July 18, 2014

Transportation Fee Schedule (XLS 277KB)  

2014– 2 (07/01/14)

Archived July 18, 2014

Transportation Contact List (PDF 84KB)  

2014– 1 (06/01/14)

Archived June 17, 2014

Transportation Contact List (PDF 83KB)  

2013– 5 (10/01/13)

Archived May 15, 2014

Transportation Contact List (PDF 84KB)  

2014– 1 (03/03/14)

Archived May 7, 2014

Transportation Fee Schedule (XLS 276KB)  

2013– 8 (12/02/13)

Archived March 4, 2014

Transportation Fee Schedule (XLS 251KB)  

2013– 7 (07/17/13)

Archived December 2, 2013

Transportation Fee Schedule (XLS 250KB)  

2013– 4 (09/01/13)

Archived September 25, 2013

Transportation Contact List (PDF 35KB)  

2013– 3 (08/01/13)

Archived August 21, 2013

Transportation Contact List (PDF 36KB)  

2013– 6 (06/27/13)

Archived July 24, 2013

Transportation Fee Schedule (XLS 248KB)  

2011– 1 (06/01/11)

Archived July 1, 2013

Transportation Billing Guidelines (PDF 1.49MB)  

2013– 4 (05/15/13)

Archived June 28, 2013

Transportation Fee Schedule (XLS 247KB)  

2013– 2 (04/04/13)

Archived June 28, 2013

Transportation Contact List (PDF 473KB)  

2013– 3 (04/08/13)

Archived May 16, 2013

Fee Schedule (XLS 246KB)  

2013– 2 (01/04/13 - v2)

Archived April 9, 2013

Fee Schedule (XLS 245KB)  

2013– 1 (10/01/12)

Archived April 9, 2013

Transportation Contact List (PDF 463KB)  

2013– 1 (01/04/13)

Archived March 22, 2013

Fee Schedule (XLS 245KB)  

2013– 1 (01/01/13)

Archived March 22, 2013

Policy Guidelines (PDF 462KB)  

2012– 5 (03/22/12)

Archived March 22, 2013

Transportation Contact List (PDF 70KB)  

2012– 4 (10/01/12)

Archived January 4, 2013

Policy Guidelines (PDF 445KB)  

2012– 4 (10/28/12)

Archived January 4, 2013

Fee Schedule (PDF 243KB)  

2012– 3 (07/01/12)

Archived October 15, 2012

Policy Guidelines (PDF 450KB)  

2012– 4 (07/01/12)

Archived October 11, 2012

Transportation Contact List (PDF 71KB)  

2012– 2 (09/01/12)

Archived October 11, 2012

Guidelines for Ordering Transportation in New York City (PDF 792KB)  

2011– 2 (9/01/11)

Archived October 11, 2012

Prior Authorization Guidelines (PDF 1.04MB)  

2012– 1 (05/01/12)

Archived September 5, 2012

Ordering Guidelines for Medical Providers Located in Brooklyn & Queens (PDF 5.24MB)  

2012– 3 (06/19/12)

Archived September 5, 2012

Fee Schedule (PDF 243KB)  

2012– 3 (05/21/12)

Archived June 21, 2012

Transportation Contact List (PDF 36KB)  

2012– 2 (05/01/12)

Archived June 21, 2012

Policy Section (PDF 467KB)  

2012– 2 (05/09/12)

Archived June 21, 2012

Fee Schedule (PDF 242KB)  

2012– 1 (03/21/12)

Archived May 3, 2012

Brooklyn-Based Medical Practitioner & Facility Prior Authorization Guidelines (PDF 6.27MB)  

2012– 2 (03/22/12)

Archived May 3, 2012

Transportation Contact List (PDF 74KB)  

2012– 1 (02/01/12)

Archived May 3, 2012

Policy Section (PDF 388KB)  

2012– 1 (01/13/12)

Archived May 2, 2012

Fee Schedule (PDF 241KB)  

2012– 2 (03/01/12)

Archived March 23, 2012

Transportation Contact List (PDF 74KB)  

2011– 2 (07/15/11)

Archived February 16, 2012

Policy Section (PDF 388KB)  

2012– 1 (01/01/12)

Archived February 16, 2012

Transportation Contact List (PDF 74KB)  

2011– 2 (9/01/11)

Archived December 20, 2011

Transportation Contact List (PDF 69KB)  

2011– 1 (2/01/11)

Archived September 7, 2011

Transportation Prior Authorization Guidelines (PDF 980KB)  

2011– 1 (8/01/11)

Archived August 25, 2011

Transportation Contact List (PDF 68KB)  

2011– 1 (1/01/11)

Archived August 9, 2011

Policy Section (PDF 386KB)  

2009 - 2 (12/01/09)

Archived June 23, 2011

Billing Guidelines (PDF 1.43MB)  

2010– 2 (7/15/10)

Archived February 8, 2011

Prior Authorization Guidelines (PDF 745KB)  

2010– 3 (7/09/10)

Archived February 8, 2011

Transportation Contact List (PDF 96KB)  

2009– 1 (4/01/09)

Archived February 8, 2011

Procedure Codes (PDF 539KB)  

2010– 1 (11/01/10)

Archived January 25, 2011

Policy Section (PDF 539KB)  

2009– 4 (9/01/09)

Archived November 8, 2010

Policy Section (PDF 759KB)  

2010– 1 (1/01/10)

Archived July 22, 2010

Prior Authorization Guidelines (PDF 742KB)  

2010– 2 (5/06/10)

Archived July 22, 2010

Transportation Contact List (PDF 92KB)  

2010– 1 (4/21/10)

Archived May 13, 2010

Transportation Contact List (PDF 92KB)  

2009– 2 (7/01/09)

Archived December 28, 2009

Prior Authorization Guidelines (PDF 1MB)  

2009– 5 (9/22/09)

Archived December 17, 2009

Transportation Contact List (PDF 172KB)  

2009 – 1 (10/01/09)

Archived December 7, 2009

Billing Guidelines (PDF 685KB)  

2008 – 3 (11/11/08)

Archived October 29, 2009

Billing Guidelines (PDF 519KB)  

2009– 4 (8/20/09)

Archived October 1, 2009

Transportation Contact List (PDF 179KB)  

2009– 3 (7/20/09)

Archived August 27, 2009

Transportation Contact List (PDF 179KB)  

2009– 3 (5/05/09)

Archived August 27, 2009

Policy Section (PDF 449KB)  

2009– 2 (4/15/09)

Archived July 27, 2009

Transportation Contact List (PDF 90KB)  

2009– 1 (4/01/09)

Archived July 16, 2009

Prior Authorization Guidelines (PDF 1MB)  

2009– 2 (4/15/09)

Archived May 07, 2009

Policy Section (PDF 429KB)  

2009– 1 (4/1/09)

Archived April 30, 2009

Transportation Contact List (PDF 90KB)  

2008– 3 (9/1/08)

Archived April 17, 2009

Prior Authorization Guidelines (PDF 1.29MB)  

2005– 1 (3/1/05)

Archived April 16, 2009

Fee Schedule and Procedure Codes (PDF 83KB)  

2009 – 1 (1/1/09)

Archived April 16, 2009

Policy Section (PDF 471KB)  

2008 – 3 (9/1/08)

Archived January 22, 2009

Policy Section (PDF 440KB)  

2008 – 2 (7/7/08)

Archived December 4, 2008

Billing Guidelines (PDF 361KB)  

2008 – 2 (5/01/08)

Archived September 8, 2008

Prior Authorization Guidelines (PDF 1.79MB)  

2008 – 2 (6/25/08)

Archived August 28, 2008

Policy Section (PDF 466KB) Updated with changes necessitated by NPI.

2008 – 1 (2/01/08)

Archived August 4, 2008

Prior Authorization Guidelines (PDF 1.82KB)  

2008 – 1 (1/16/08)

Archived July 24, 2008

Billing Guidelines (PDF 359KB)  

2008 – 1 (6/01/08)

Archived July 9, 2008

Policy Guidelines (PDF 456KB)  

2007 – 1 (1/09/07)

Archived June 13, 2008

Policy Guidelines (PDF 163KB)  

2007 – 1 (4/01/07)

Archived March 5, 2008

Prior Authorization Guidelines (PDF 736KB)  

2007 – 1 (5/14/07)

Archived January 23, 2008

Billing Guidelines (PDF 370KB)  

2006 – 1 (2/01/06)

Archived July 18, 2007

Billing Guidelines (PDF 459KB)  

2006 – 1 (12/01/06)

Archived July 11, 2007

Prior Authorization Guidelines (PDF 159KB) The Medicaid Transportation - NYC Ordering Guidelines Manual replaces the PA Guidelines Manual with more comprehensive information regarding the request for transportation of NYC Medicaid enrollees. Ordering providers are strongly urged to maintain a copy of this manual in their records.

2006 – 2 (12/01/06)

Archived January 17, 2007

Policy Guidelines (PDF 163KB)  

2006 – 1 (10/20/06)

Archived December 6, 2006

Policy Guidelines (PDF 161KB) The definition of Advanced Life Support (ALS) ambulance service has been further refined since the last update of this manual, to conform with the Bureau of Emergency Services ALS definition.

2004 – 1

Archived October 27, 2006

Policy Guidelines (PDF 259KB) Changes brought about by the implementation of eMedNY have been made (i.e., Prior Authorization number is now 11 digits, not 8; description of fields on roster is changed).

The policy on the claiming of mileage within urban areas, such as New York City, is expressed.

The definitions of advanced life support (ALS) and basic life support (BLS) ambulance services have been changed, to now include the monitoring of an intravenous (IV) solution as an ALS service.

Enrollment requirements, when there is more than one operating location, have been updated.
2005 – 1 (04/01/05) Billing Guidelines (PDF 440KB)  
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