Implementation of Supplemental Payment Program for NEMT Services

February 24, 2020

The Department of Healthcare Services (DHCS) will implement a time-limited supplemental payment program for Non-Emergency Medical Transportation (NEMT) services. The supplemental payment amounts are fixed amounts that will be paid for each eligible paid NEMT service. The supplemental payments for the eligible NEMT codes below are effective for the period of July 1, 2019, through December 31, 2021.

Following implementation of the supplemental payments, there will be an Erroneous Payment Correction to reimburse providers for eligible supplemental payments retroactive to July 1, 2019. There will be no additional action required on the part of providers.

Below is a list of the eligible NEMT codes and their respective supplemental payment amount:

Procedure Code Supplemental Amount
93005 $1.64
93041 0.51
A0130 4.41
A0380 0.33
A0420 1.98
A0422 1.00
A0424 1.64
A0425 0.36
A0426 10.72
A0428 10.72
A0430 127.50
A0431 180.00
A0435 1.43
A0436 2.21
T2001 0.55
T2005 2.63
T2007 1.13