Crosswalk of changes

Revisions to CMS-10708 Instrument – Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior
Authorization Model Process and Requirements
The overall prior authorization process and requirements remain unchanged. The following minor revisions were made to the instrument:
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1

4

Change
Revised title to remove “Proposed” and “for a
Potential National”
Removed “proposed” and changed “would
have the opportunity” to “may”
Removed “if available” to describe the MAC
provider portals
Removed “Beneficiary Gender”

5

Spelled out PTAN acronym

6

Removed “National Provider Identifier”
leaving the acronym NPI

7

Added “one-way” to describe the transports

8

Added footnote 1

9

Replaced “Start Date” with “Requested start
date of the prior authorization period”
Removed “Resubmitted request: 20 days”
and revised “Initial request: 10 days” to
“Initial and resubmitted requests: 10 days”

2
3

10

Current Location
Top of page 1
First sentence of the first
paragraph on page 1
End of first sentence of the first
paragraph on page 1
Last bullet under “Beneficiary
Information” on page 1
Third bullet under “Certifying
Physician/Practitioner
Information” on page 1
Second bullet under
“Ambulance Supplier
Information” on page 1
First bullet under “Other
Information” on page 1
First bullet under “Other
Information” on page 1
Fourth bullet under “Other
Information” on page 1
Text in yellow arrows in the
bottom blue box on the chart on
page 3

Reason for Change
The model is no longer proposed,
as it is operational nationwide.
The model is no longer proposed,
as it is operational nationwide.
All MAC provider portals are
available.
This information is not required
from the ambulance supplier.
For clarification.

Burden Effect
n/a

The acronym was previously
spelled out.

n/a

For clarification.

n/a

For clarification.

n/a

For clarification.

n/a

The MACs must make the prior
authorization decision and send
notification within 10 days for all
requests, both initial and
resubmitted.

n/a

n/a
n/a
n/a
n/a