Forms & publications

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Ambulance and Involuntary Treatment Act (ITA) Transportation Billing Guide (2020-01-01)

Provider billing guide

Ambulance Transportation Billing Guide (2020-03-01)

Provider billing guide

Ambulance Transportation Billing Guide (2020-04-01)

Provider billing guide

Ambulance Transportation Billing Guide (2021-01-01)

Provider billing guide

Ambulance-ITA-Transportation-20160210.xls

Ambulance Fee Schedule effective 01/01/2006-11/30/2016

Fee schedule

Ambulance-ITA-Transportation-20161209.xls

Ambulance fee schedule effective December 1, 2016 to June 30, 2019

Fee schedule

Ambulance-ITA-Transportation-20190701.xls

Use this for Ambulance ITA effective 07/01/19

Fee schedule

Ambulance-ITA-Transportation-20200415.xls

Ambulance rate sheet effective 02-29-2020

Fee schedule

Ambulance-ITA-Transportation-20200417.xls

Ambulance rate sheet

Fee schedule

Ambulance-ITA-Transportation-20210701.xls

Ambulance ITA Fee Schedule effective July 1, 2021

Fee schedule

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