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    v1.0.30
    OpenPayerPolicy UpdatesClinical/Medical PolicyDHA Transportation Coverage Policy | OpenPayer
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    CurrentDHAPolicy 3.1

    TPT5: Policy Manual

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    This document is a DHA TRICARE policy manual table of contents identifying policy sections that may govern transportation-related services. The available window does not include the substantive transportation coverage, authorization, documentation, or reimbursement requirements.

    Policy Summary
    PayerDHA
    PolicyTPT5: Policy Manual
    Policy CodePolicy 3.1
    Change TypeRevision with no material clinical or coverage changes
    Effective DateSep 1, 2005
    Next Review DateN/A
    Key ActionEnsure transportation is for an institutionalized ECHO beneficiary traveling to or from a facility or institution to receive otherwise allowable ECHO services or items.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    57TPT5 policy manual revision
    2Transportation-related sections visible
    1CPT code listed
    2HCPCS code listings
    2Transportation reimbursement bases

    Transportation Coverage Criteria

    ECHO beneficiary transportation

    Transportation may be cost-shared when all of the following are met.

    Eligible ECHO transportation: The beneficiary is institutionalized and is transported to or from a facility or institution to receive otherwise allowable services or items through the ECHO.

    Medical attendant transportation

    Attendant transportation may be cost-shared when the following condition is met.

    Accompanying medical attendant: An accompanying medical attendant is transported to ensure the safe transport of the ECHO beneficiary.

    Transportation Coding and Reimbursement

    CPT CODECPT
    99082Unusual travel
    HCPCS CODESHCPCS
    A0100 - A0140
    A0170
    Policy Summary
    PayerDHA
    PolicyTPT5: Policy Manual
    Policy CodePolicy 3.1
    Change TypeRevision with no material clinical or coverage changes
    Effective DateSep 1, 2005
    Next Review DateN/A
    Key ActionEnsure transportation is for an institutionalized ECHO beneficiary traveling to or from a facility or institution to receive otherwise allowable ECHO services or items.
    SourceLink
    On This Page
    Transportation Coverage CriteriaTransportation Coding and Reimbursement

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    Privately Owned Vehicle Mileage Reimbursement
    Reimbursement basisFederal Government employee mileage reimbursement rate in effect on the trip date
    ScopeUse of a privately owned vehicle for transportation
    Family members transportedThe limitation applies regardless of the number of ECHO family members transported
    Other Transportation Reimbursement
    Reimbursement basisActual costs
    Transportation typeTransportation by means other than a privately owned vehicle
    Policy treatmentReimbursed on the basis of actual costs