Clinical details required for all routine ambulance service requests

03/27/2020

A reminder about our policy for routine ambulance services: ambulance service providers must submit full clinical details with their preauthorization requests for routine ambulance/medical transport services for all ConnectiCare members. This applies to both commercial and Medicare Advantage plans.

Requests for routine ambulance service should include clinical documentation that demonstrates transportation by ambulance is medically required and that any other means of transportation could endanger a member’s health or condition.

Preauthorization requests and full clinical details should be submitted by fax to:

  1. 860-674-5893 for members with commercial plans
  2. 866-706-6929 for members with Medicare Advantage plans

Please note, ConnectiCare may ask for more details during our review.