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Der the Fee Schedule for Ambulance Services AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: SUMMARY: Proposed rule. We are proposing to set forth changes to the fee schedule for payment of ambulance services by adopting revised geographic designations for urban and rural areas as set forth in Office of Management and Budget s (OMB) CoreBased Statistical Areas (CBSAs) standard. We propose to remove the definition of Goldsmith modification and reference the most recent.

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