Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 140 - MEDICAL PAYMENT › Subpart D - PAYMENT FOR NON-INSTITUTIONAL SERVICES › Section 140.490 - Medical Transportation

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Payment for medical transportation shall be made to an individual, public,
				private or not-for-profit transportation carrier, whose operators are properly
				licensed, who provides the appropriate form of transportation and who bills and
				receives payment from the general public and other third party payors (except
				for private autos pursuant to subsection (a)(5)). Eligible providers to be
				considered for payment include:
1) Ambulance
				providers who hold a valid license, permit or certification from the state
				where the business is headquartered or from the Secretary of State (see Section
				3-401 of the Illinois Vehicle Title and Registration Law [
				625 ILCS
				5/3-401 ] and Section 8-101 of the Illinois Vehicle
				Code [
				625
				ILCS 5/8-101 ]) and pass health/safety inspections
				annually by the Department of Public Health (see the Emergency Medical Services
				(EMS) Systems Act [ 210 ILCS 50 ]). Out-of-state ambulance providers who
				provide services within Illinois must be in compliance with the EMS Systems Act
				[ 210 ILCS 50 ]. Vehicles operated by municipalities must meet the
				certification requirements contained in 77 Ill. Adm. Code 535, Subpart C, by
				July 1, 1987. The Department will grant exceptions to this requirement if the
				municipality can demonstrate that the Illinois Department of Public Health has
				granted a waiver or exception to such requirement.
2) Medi-car vehicles licensed by the
				Secretary of State (see Section 3-401 of the Illinois Vehicle Title and
				Registration Law and Section 8-101 of the Illinois Vehicle Code) or that hold a
				valid license, permit or certification from the state where the business is
				headquartered. Medi-car service is defined as transportation provided to a
				patient who is confined to a wheelchair and requires the use of a hydraulic or
				electric lift or ramp and wheelchair lockdown when the patient's condition does
				not require medical observation, medical supervision, medical equipment, the
				administration of medications, or the administration of oxygen.
3) Taxicabs licensed by the Secretary of
				State and, when applicable, by local regulatory agencies (see Section 3-401 of
				the Illinois Vehicle Title and Registration Law and Section 8-101 of the
				Illinois Vehicle Code) or that hold a valid license, permit or certification
				from the state where the business is headquartered.
4) Service cars licensed as livery cars by
				the Secretary of State and, when applicable, by local regulatory agencies (see
				Section 3-401 of the Illinois Vehicle Title and Registration Law and Section
				8-101 of the Illinois Vehicle Code) or that hold a valid license, permit or
				certification from the state where the business is headquartered. Service car
				service is defined as transportation provided to a patient by a passenger
				vehicle when that patient does not require ambulance or medi-car
				services.
5) Private automobiles
				licensed by the Secretary of State (see Section 3-401 of the Illinois Vehicle
				Title and Registration Law and Section 8-101 of the Illinois Vehicle Code) or
				licensed in the state of the owner's residence.
6) Helicopter providers who hold a valid
				license from the State of Illinois issued under the authority of the State of
				Illinois Department of Public Health, or are licensed in the state where
				services are provided.
7) Other
				modes of transportation such as buses, trains and commercial
				airplanes.