PA HB857

Amends Pennsylvania's Human Services Code Section 443.13 regarding emergency transportation services reimbursement under Medical Assistance programs

Beginning July 1, 2025, establishes reimbursement for emergency services when an enrollee did not require transport or refused transport, rendered by licensed emergency medical services agencies

Sets reimbursement rates at the greater of: highest Medicare rates from the Ambulance Fee Schedule Public Use File for calendar year 2025, or current Medicaid Ambulance Fees per Medical Assistance Bulletin 26-24-01 (effective January 1, 2024)

Applies to services under Medical Assistance Fee-for-Service, Medical Assistance Capitation, and Medical Assistance Community HealthChoices programs

Takes effect immediately upon enactment