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(b) A claim submitted to the department for payment of costs for emergency transportation service, including ground ambulance and air ambulance service, must be accompanied by written justification of the medical emergency, including medical documentation. A ground ambulance service’s documentation of a recipient’s medical status and medical services provided may serve as adequate written justification to support a claim for emergency transportation services by a ground ambulance service. (c) The department will not pay for

(1) emergency air travel in an air ambulance, on a charter airline, or on a commercial airline unless the provider submits to the department medical justification for the service required under (b) of this section no more than two business days following the date that the recipient was transported;

(2) emergency transportation services to return the recipient to a residence or other location. (d) If the department determines that the use of an emergency ground ambulance was not medically justified, a claim for allowable costs will be paid at the nonemergency ground ambulance rate. If the department determines that the recipient’s medical condition did not warrant any form of ambulance transportation, the claim will be denied. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 120.420. Air ambulance services. (a) The department will pay for air ambulance services only if

(1) the recipient is being transferred to another community to receive a medically necessary higher level of care not available in the recipient’s community; and

(2) the patient is accompanied by appropriately credentialed medical personnel. (b) If a recipient needs to travel to another community to receive a lower level of care and is unable to travel on a commercial airline, the department may authorize transportation in a air ambulance, but will only pay the provider for the lift-off fee at the point of patient pickup. (c) The department will not pay for an authorized escort under 7 AAC 120.430 to accompany