Library: Policy
317:30-5-336.10. Fixed wing air ambulance services
Revised 6-25-11
(a) Fixed wing air ambulance transports must be approved by OHCA. This approval is contingent upon medical necessity.
(b) Ambulance transport in a fixed wing aircraft is a covered service if the following requirements are met:
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(1) The transport, including ancillary services (e.g. flight nurse), is ordered by a physician.
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(2) The written physician order is maintained in the member's file.
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(3) Transport by ground vehicle would endanger the member's life due to time and distance from the hospital.
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(4) Medically necessary care or services for the member's medical condition cannot be provided by a local facility.