{"abstract":"This final rule with comment period revises and updates Medicare policy concerning ambulance services. It identifies destinations to which ambulance services are covered, establishes requirements for the vehicles and staff used to furnish ambulance services, and clarifies coverage of nonemergency ambulance services for Medicare beneficiaries. This rule also implements section 4531(c) of the Balanced Budget Act of 1997 concerning Medicare coverage for paramedic interecept services in rural communities.","action":"Final rule with comment period.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/1999/01/25/99-1547.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"409","title":42},{"chapter":null,"citation_url":null,"part":"410","title":42},{"chapter":null,"citation_url":null,"part":"424","title":42}],"citation":"64 FR 3637","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":null,"disposition_notes":null,"docket_ids":["HCFA-1813-FC"],"dockets":[],"document_number":"99-1547","effective_on":null,"end_page":3650,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1999/01/25/99-1547/medicare-program-coverage-of-ambulance-services-and-vehicle-and-staff-requirements","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/99-1547?publication_date=1999-01-25","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1999-01-25/99-1547/mods.xml","not_received_for_publication":null,"page_length":14,"page_views":{"count":342,"last_updated":"2026-10-25 08:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1999-01-25/pdf/99-1547.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1999-01-25","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1999/01/25/99-1547.txt","regulation_id_number_info":{"0938-AH13":{"issue":"199810","html_url":"https://www.federalregister.gov/regulations/0938-AH13/ambulance-services-hcfa-1813-f-","title":"Ambulance Services (HCFA-1813-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=199810&RIN=0938-AH13&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0938-AH13"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-09-20T23:23:51Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":3637,"subtype":null,"title":"Medicare Program; Coverage of Ambulance Services and Vehicle and Staff Requirements","toc_doc":null,"toc_subject":null,"topics":[],"type":"Rule","volume":64}