; and (iii) by inserting after paragraph (9) the following new paragraph: (10) in the case of rural emergency access center services and services provided by a rural emergency access center ambulance service provider or another ambulance service supplier to transport patients who require acute care inpatient services or other inpatient services from such rural emergency access center to a hospital or critical access hospital, the amounts described in section 1834(x). . (B) Payment amount Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ) is amended by adding at the end the following subsection: (x) Payment rules relating to rural emergency access centers (1) Payment for rural emergency access center outpatient services The amount of payment for rural emergency access center services of a rural emergency access center is determined as follows: (A) Facility fee With respect to facility services (other than services for which payment is made under subparagraph (B)), the sum of the following: (i) OPPS rate The amount of payment that would otherwise apply under section 1833(t) for covered OPD services (as defined in section 1833(t)(1)(B) (other than clause (ii) of such section)). (ii) Additional fee An additional facility payment in an amount determined appropriate by the Secretary that takes into account the low volume of services provided by such center and the low number of individuals served by such center. (B) Professional services With respect to professional services, the amount of payment that would otherwise be made under this part (other than under section 1833(t)(21)) for such services. (2) Payment for transportation services The payment amount for ambulance services provided by a rural emergency access center ambulance service provider or another ambulance service supplier to transport patients who require acute care inpatient services or other inpatient services from such rural emergency access center to a hospital or critical access hospital is equal to the sum of— (A) the amount that would