The following are conditions which would be acceptable justification for non-emergency ambulance. Non-emergency ambulance trips for clients with these conditions or needing these services do not require prior authorization.
Casts Which Prevent Hip Flexion
Four Point Restraints
Comatose
Intravenous Running
Suctioning During Transport
Isolette
Prone Positioning (e.g. due to decubiti or skin flaps)
Conn. Agencies Regs. tit. 17, 134d, Immediate Medical Coverage for Newborn Children, app B