You may think that Medicaid always covers air ambulance costs—but it’s not that simple. By understanding your Medicaid coverage, you can avoid out-of-pocket costs for air ambulance services.

In this guide, we’ll discuss Medicaid coverage for emergency and non-emergency medical flights, which states REVA is in-network with, and how to get approvals and authorizations for your flight. You’ll also learn how single case agreements work and what to expect when it comes to out-of-pocket costs.

With in-network status in Florida, Texas, Virginia, and Indiana, REVA makes it easier to get the air ambulance services you need without breaking the bank. Contact us today to arrange an air ambulance. We’re always available to answer your questions and coordinate insurance coverage.

Medicaid Coverage Rules for Air Ambulance Services: State Limitations

Medicaid does cover air ambulance services, but only if the provider is in-network with your state’s Medicaid program. Insurance is administered at the state level, so coverage policies, provider networks, and pre-authorization processes can vary across the country.

REVA is currently in-network with Medicaid programs in Virginia, Indiana, Texas, and Florida. If a patient has Medicaid from another state, the provider must be in-network with that state’s Medicaid program in order to move forward with authorization for air ambulance services.

In some cases, a single case agreement can be created with your Medicaid provider if REVA is not already in-network. This is a temporary, one-time arrangement between REVA and your state’s Medicaid agency that allows the agency to cover the flight cost on a case-by-case basis. 

SCAs require time and coordination, and they aren’t guaranteed. If one can’t be arranged, you may be responsible for the full cost of air ambulance services.

Will Medicaid Cover Air Ambulances in Emergency and Non-Emergency Situations?

Yes, Medicaid covers air ambulance transfers for both emergent and non-emergent situations. However, coverage is only granted if:

• The provider is in-network with the Medicaid program in your state.
• The transport is medically necessary.
• The transport takes the patient to the nearest appropriate medical facility.

In emergency cases, Medicaid may cover the flight without prior approval if the service meets the state’s definition of an emergency and all documentation supports medical necessity.

For non-emergency transfers, prior authorization is almost always required. Without this approval, Medicaid will deny coverage, leaving the patient responsible for all costs.

Since Medicaid is a joint federal-state program, general federal rules apply, but each state has its own set of criteria for emergency medical transportation. This includes documentation requirements, covered destinations, and specific coding used for billing. 

Who Qualifies for Medicaid Air Ambulance Coverage? 

Medicaid is intended for underserved populations—eligible individuals typically earn low to moderate incomes. Before any air ambulance service can be provided, Medicaid requires authorization confirming medical necessity.

Each state operates its own Medicaid program and establishes its own contracts with providers. This means that not all air ambulance companies are covered in all states. 

You can find out if you’re eligible by visiting your state’s Medicaid website.

How to Book an Air Ambulance with Medicaid

If you’re planning or requesting an air ambulance and you have Medicaid coverage, here’s what to do:

1. Notify the air ambulance provider—let the operations specialist know that you are a Medicaid recipient.
2. The provider will verify your Medicaid plan and state of enrollment.
3. If the provider is in-network with your state’s Medicaid agency, they’ll proceed with requesting prior authorization.
4. Once authorization is granted, the provider may establish a single case agreement if necessary to facilitate payment.
5. If the provider is not in-network and a single case agreement is not possible, you will be responsible for the full cost of the flight as a self-pay patient.

Booking through Medicaid involves coordinating documents, provider communication, and approvals. Working with an experienced air ambulance provider like REVA can prevent delays and reduce the risk of coverage denial.

Are There Out-of-Pocket Costs Associated with Medicaid Air Ambulance Coverage?

Generally, no. You won’t face out-of-pocket costs if:

• The service is approved as medically necessary.
• The provider has a single case agreement or is in-network.
• Medicaid authorizes the air ambulance transport.

When these conditions are met, the federal and state governments jointly cover the cost of the air ambulance under the Medicaid program. There are no deductibles, coinsurance, or copayments like you may find with private insurance or Medicare Advantage plans.

Coordinate An Air Ambulance Flight with REVA

If your loved one needs an air ambulance, REVA will guide you through the insurance and Medicaid authorization process, helping you avoid surprise bills and reduce out-of-pocket costs. Whether it’s an emergency or a planned transport, we work directly with your state’s Medicaid provider to secure coverage whenever possible. 

Contact REVA today to coordinate your air ambulance flight with confidence.