Jan 1, 2018 This guide is designed to help ambulance providers and their staff to understand for ambulance transportation and transportation under the .Jan 10, 2017 AMBULANCE. Air & Ground. Appendix A. An independent licensee of the Blue Cross Blue Shield Association.Aug 22, 2018 Moda Health Medical Necessity Criteria Air Ambulance Transport. Page 1/3 New criteria based on ACEP Guidelines currently.This publication supersedes all previous Ambulance Services manuals. Ambulance Services Manual converted to an HTML format and adapted to 508 .Elderly, blind and disabled individuals who meet the MO HealthNet eligibility criteria in the community or a vendor facility; or receive a Missouri State .