Service Description

Transportation services as defined in the Service Plan that are necessary to enable an eligible child and a member of the child's family (if accompanying the child) to travel to and from the location where another Early Intervention service is to be provided. Transportation services include transportation by taxicab, service car or private automobile. The prior approval requirement for Medicaid eligible children, for Transportation to and from Early Intervention Services only, is satisfied by enrollment in the EI Services System and by denoting the necessity of the service in the Service Plan.

Services must be consistent with the provider's qualifications and licensure.

Qualified Staff

System enrolled transportation provider. Providers may include parents, guardians and other responsible adults. (See ATTACHMENT 5: REQUIREMENTS FOR PROFESSIONAL AND ASSOCIATE LEVEL EARLY INTERVENTION CREDENTIALING AND ENROLLMENT TO BILL.)

Billable Activities with Authorization:

Transportation for child and family member to and from the location where Early Intervention services are provided.

(Must be by most economical means appropriate for the child. Transportation codes can only be billed for loaded mileage. Loaded mileage means that the child is in the vehicle and is being transported to and from an EI Service.)

Rate:

Established individually based on Medicaid rates.

Do not provide services without having an authorization in hand. Services provided without a pre-approved authorization are not guaranteed for payment.

Transportation codes can only be billed for loaded mileage. Loaded mileage means that the child is in the vehicle and is being transported to and from a EI service.

Procedure Codes Modifiers Unit of Service Description
A0120 N/A Service car, base rate *
A0120 N/A Service car, return *
A0425 N/A Service car, mileage *
A0100 N/A Taxi, base rate **
A0100 N/A Taxi, return **
A0425 N/A Taxi, mileage **
A0090 N/A Private auto mileage
  • Service Car - Base rate and return rate include up to first ten (10) miles. Only bill mileage if base rate and return rate are more than ten miles each.
  • * Taxi - Bill base rate and return rate plus mileage.