Medical Service Providers

The Victim Compensation Program may pay for medical and medically related expenses that are caused by a crime, including but not limited to:

• Medical services including hospitalization, surgery, ambulance transportation, and prescriptions.
• Medically necessary items such as eyeglasses, hearing aids, dentures and prosthetic devices that are lost, stolen, or broken during the crime or that become necessary due to the crime.
• Certain alternative medical treatments (physician referral and session limits apply).

Medical Bills

Medical bills must be submitted on a Centers for Medicare & Medicaid Services (CMS) 1500 or 1450 form and must contain:

• Patient’s name and address
• Date(s) of service
• Type(s) of service(s) provided (diagnosis and procedure)
• Billed amount
• Provider’s license number, federal tax identification number (FEIN or SSN), business address, telephone number, signature or signature stamp, and billing date

Reimbursement Rates

Generally, medical expenses are paid at the Medicare rate.