Ambulance Prior Authorization

Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model Process and Requirements (CMS-10708)

OMB: 0938-1380

IC ID: 240694

Documents and Forms

Document Name Document Type
Form CMS-10708 Ambulance Prior Authorization Form and Instruction
CMS-10708 Ambulatory Prior Authorization CMS-10708 Ambo Prior Auth Instrument.pdf Form and Instruction