Changes to Billing for Medicar & Service Car Services – Effective February 1, 2026

Date: 12/05/25

Meridian and its family of plans, Meridian Medicaid Plan (Meridian), YouthCare, and Wellcare By Meridian D-SNP, will update the billing process for Medicar and Service Car services for our members. These changes will take effect for dates of service on or after February 1, 2026.

What’s Changing?

• Starting February 1, 2026, Meridian will no longer accept claims submitted directly by ambulance providers for Medicar and Service Car trips billed with HCPCS codes A0120, A0130, or related codes.
• Instead, all claims for these services must be submitted to Meridian’s transportation vendor, MTM.

How to Bill for Medicar Services

• To receive approval for Medicar services, ambulance providers should contact MTM at 866-796-1165.
• Trips can be authorized in advance (prior authorization) or after the trip (post authorization).
  
  • Post-authorized trips must be reported to MTM within 30 days of the transport date.
• Providers can report trips by:
  
  • Entering them in MTM Link,
  • Submitting details using a 1500 form, or
  • Sending an 837 file.
• If a Physician Certification Statement (PCS) is required, it must be submitted with the claim.

What’s Not Changing?

• Meridian will continue to accept claims directly for:
  
  • Ambulance transport (HCPCS codes A0426, A0427, A0428, and A0429) for DSNP members.
  • Fixed wing transport (A0430) for all programs.

Need Help? For questions about Medicar claims or these changes, please contact your MTM Transportation manager.

Frequently Asked Questions (FAQ)

Q1: What services are affected by this billing change?
Medicar and Service Car services for HealthChoice Illinois, YouthCare, and DSNP members are affected. Claims for these services (HCPCS codes A0120, A0130, and related codes) must be billed to MTM starting February 1, 2026.

Q2: How do I submit a claim for Medicar or Service Car services?
Submit all claims for these services to Meridian’s transportation vendor, MTM. You can enter trips in MTM Link, use a 1500 form, or submit an 837 file. For assistance, contact MTM at 866-796-1165.

Q3: What is the difference between prior authorization and post authorization?

• Prior authorization: Approval is obtained before the trip occurs.
• Post authorization: Approval is obtained after the trip, but the trip must be reported to MTM within 30 days of the transport date.

Q4: What happens if I submit a claim for these services directly to Meridian after February 1, 2026?
Claims for Medicar and Service Car services submitted directly to Meridian will not be processed. They must be sent to MTM.

Q5: Are any ambulance services still billed directly to Meridian?
Yes. Claims for ambulance transport (A0426, A0427, A0428, A0429) for DSNP members and fixed wing transport (A0430) for all programs should still be submitted directly to Meridian.

Q6: What if a Physician Certification Statement (PCS) is required?
If PCS is applicable, it must be submitted with the claim to MTM.

Q7: Who can I contact for more information or help?
Contact your MTM Transportation manager or call MTM at 866-796-1165 for questions about Medicar claims or these billing changes.