DAR File No. 43608

Health, Family Health and Preparedness, Emergency Medical Services

Rule R426-8

Emergency Medical Services Ground Ambulance Rates and Charges

Notice of Proposed Rule

(Amendment)

DAR File No.: 43608
Filed: 03/29/2019 01:56:30 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

The Department of Health (Department) is required to adjust ambulance maximum rates based on licensed ambulance providers fiscal data. The data is evaluated by the Department to determine if financial trends are causing the licensed ambulance providers to be fiscally viable. Current data was used to amend ambulance rates. Rule R426-8 is amended to update ambulance rates.

Summary of the rule or change:

Fiscal Reporting Guides (FRGs) are financial and statistical data collected from all emergency medical services (EMS) agencies statewide. The data collected showed EMS rates needed to be increased 3.0% so agencies statewide will have closer revenues matching expenses. Rule R426-8 needs to be amended to reflect these ground ambulance transport rate changes. Rates should be made effective on 07/01/2019 to coincide with Medicaid payment adjustments for the fiscal year. Fiscal costs and benefits will begin starting in FY 2020.

Statutory or constitutional authorization for this rule:

• Title 26, Chapter 8a

Anticipated cost or savings to:

the state budget:

The state budget will not be impacted as this is a user fee.

local governments:

Local governments will be impacted slightly. The rates listed in this rule are increased 3.0%. The licensed ambulance provider billing will increase base rates in order to offset lost collections, wage increases, and the increased equipment costs. A total benefit of $2,767,415 is anticipated for FY 2020.

small businesses:

There is one small business that is a licensed ambulance provider. These proposed amendments will increase the fiscal benefit by an estimated $15,085 for FY 2020.

persons other than small businesses, businesses, or local governmental entities:

The fiscal costs to persons who use an ambulance were estimated based on anticipated billable ground ambulance patient transports using prior year numbers of patient transports. The fiscal analysis demonstrated a need for a 3.0% maximum base rate increase. Data was based on patient care reports submitted to the Department by the licensed ambulance providers. A total cost is estimated to be $4,637,500 starting in FY 2020 for affected persons.

Compliance costs for affected persons:

The fiscal benefits and costs to non-small businesses were estimated based on anticipated billable ground ambulance patient transports using prior year numbers of patient transports. The fiscal analysis demonstrated a need for a 3.0% maximum base rate increase. Data was based on patient care reports submitted to the Department by the licensed ambulance providers. No change in the current fiscal year (FY 2019) since these rule amendments will take effect on 07/01/2019. Subsequent years (FY 2020 and FY 2021) were projected as an estimate of growth in numbers of patients requiring ambulance transports. There are six non-small businesses licensed as ground ambulance providers in Utah. These businesses account for an estimated 40% of the total billable ambulance patient transports per year based on reported patient transports. At the average price increase per patient transport of $35, these businesses are expected to receive $1,855,000 in increased revenues per year starting in FY 2020.

Comments by the department head on the fiscal impact the rule may have on businesses:

After conducting a thorough analysis, it was determined that these rule amendments which increase the base rate will result in a fiscal benefit to businesses.

Joseph K. Miner, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Office of Administrative Rules, or at:

Health
Family Health and Preparedness, Emergency Medical Services
3760 S HIGHLAND DR
SALT LAKE CITY, UT 84106

Direct questions regarding this rule to:

• Guy Dansie at the above address, by phone at 801-273-6671, by FAX at 801-273-4165, or by Internet E-mail at [email protected]

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

05/15/2019

This rule may become effective on:

05/22/2019

Authorized by:

Joseph Miner, Executive Director

Appendix 1: Regulatory Impact Summary Table*

Fiscal Costs	FY 2019	FY 2020	FY 2021
State Government	$0	$0	$0
Local Government	$0	$0	$0
Small Businesses	$0	$0	$0
Non-Small Businesses	$0	$0	$0
Other Person	$0	$4,637,500	$5,000,000
Total Fiscal Costs:	$ 0	$4,637,500	$5, 000,000
Fiscal Benefits
State Government	$0	$0	$0
Local Government	$0	$2,767,415	$2,984,800
Small Businesses	$0	$15,085	$15,200
Non-Small Businesses	$0	$1,855,000	$2,000,000
Other Persons	$0	$0	$0
Total Fiscal Benefits:	$ 0	$4,637,500	$5,000,000
Net Fiscal Benefits:	$0	$0	$0

 

*This table only includes fiscal impacts that could be measured. If there are inestimable fiscal impacts, they will not be included in this table. Inestimable impacts for State Government, Local Government, Small Businesses and Other Persons are described in the narrative. Inestimable impacts for Non - Small Businesses are described in Appendix 2.

 

Appendix 2: Regulatory Impact to Non - Small Businesses

The fiscal benefits and costs to non-small businesses were estimated based on anticipated billable ground ambulance patient transports using prior year numbers of patient transports. The fiscal analysis demonstrated a need for a 3.0% maximum base rate increase. Data was based on patient care reports submitted to the Department by the licensed ambulance providers. No change in the current fiscal year (FY 2019) since the rule amendment will take effect on 07/01/2019. Subsequent years (FY 2020 and FY 2021) were projected as an estimate of growth in numbers of patients requiring ambulance transports. There are six non-small businesses licensed as ground ambulance providers in Utah. These businesses account for an estimated 40% of the total billable ambulance patient transports per year based on reported patient transports. At the average price increase per patient transport of $35, these businesses are expected to receive $1,855,000 in increased revenues per year starting in FY 2020.

 

 

R426. Health, Family Health and Preparedness, Emergency Medical Services.

R426-8. Emergency Medical Services Ground Ambulance Rates and Charges.

R426-8-100 . Authority and Purpose.

(1) This rule is established under Title 26, Chapter 8a.

(2) The purpose of this rule is to provide for the establishment of maximum ambulance transportation and rates to be charged by licensed ground ambulance providers in the State of Utah.

 

R426-8-200 . Ground Ambulance Transportation Revenues, Rates, and Charges.

(1) Licensed ground ambulance providers [operating under R426-3 ]shall not charge more than the rates described in this rule. In addition, the net income of licensed ground ambulance providers, including subsidies of any type, shall not exceed ten percent of gross revenue.

(a) Licensed ground ambulance providers may change rates at their discretion [after notifying the Department, ]provided that the rates do not exceed the maximums specified in this rule.

(b) A licensed ground ambulance provider may not charge a transportation fee for patients who are not transported.

(2) The initial regulated rates established in this rule shall be adjusted annually [on July 1, ]based on financial data as delineated by the Department to be submitted as detailed under R426-8-2 00(10). This data shall then be used as the basis for the annual rate adjustment.

(3) Base Rates for ground transport of a patient to a hospital or patient receiving facility are as follows:

(a) Ground Ambulance - [$772.00]$795.00 per transport;

(b) Advanced EMT Ground Ambulance - [$1,018.00]$1,049.00 per transport;

(c) Advanced EMT Ground Ambulance who was prior to June 30, 2016 licensed as an EMT-IA provider - [$1,254.00]$1,292.00 per transport;

(d) Paramedic Ground Ambulance - [$1,490.00]$1,535.00 per transport;

(e) Ground Ambulance with Paramedic on-board - [$1,490.00]$1,535.00 per transport if:

(i) a designated Emergency Medical Service dispatch center dispatches a licensed paramedic provider to treat the individual;

(ii) the licensed paramedic provider has initiated advanced life support;

(iii) on-line medical control directs that a paramedic remain with the patient during transport; and

(iv) a licensed ground ambulance provider who interfaces with a licensed paramedic rescue service and has an inter-local or equivalent agreement in place, dealing with reimbursing the paramedic ground ambulance licensed provider for services provided up to a maximum of [$472.00]$486.00 per transport.

(4) Mileage rates may be charged at a rate of $31.65 per mile or fraction thereof, and computed from the point of patient pick-up to the point of patient delivery. Fuel fluctuation surcharges of $0.25 per mile may be added when diesel fuel prices exceed $5.10 per gallon, or gasoline prices exceed $4.25 per gallon as invoiced.

(5) A surcharge of $1.50 per mile may be assessed if an ambulance is required to travel ten or more miles on unpaved roads.

(6) If more than one patient is transported from the same point of origin to the same point of delivery in the same ambulance, the charges to be assessed to each individual will be determined as follows:

(a) Each patient will be assessed the transportation rate;

(b) The mileage rate will be computed as specified, the sum to be divided equally between the total number of patients.

(7) A round trip may be billed as two one-way trips. A licensed ground ambulance provider shall provide 15 minutes of time at no charge at both point of pickup and point of delivery, and may charge $22.05 per quarter hour or fraction thereof thereafter. On round trips, 30 minutes at no charge will be allowed from the time the ambulance reaches the point of delivery until starting the return trip. At the expiration of the 30 minutes, the ambulance service may charge $22.05 per quarter hour or fraction thereof thereafter.

(8) A licensed ground ambulance provider may charge for supplies, providing supplies, medications, and administering medications on a response if:

(a) supplies shall be priced fairly and competitively with similar products in the local area;

(b) the individual does not refuse services; and

(c) the licensed ground ambulance personnel assess or treats the individual.

(9) In the event of a temporary escalation of costs, a licensed ground ambulance provider may petition the Department for permission to make a temporary service-specific surcharge. The petition shall specify the amount of the proposed surcharge, the reason for the surcharge, and provide sufficient financial data to clearly demonstrate the need for the proposed surcharge. Since this is intended to only provide temporary relief, the petition shall also include a recommended time limit. The Department will make a final decision on the proposed surcharge within 30 days of receipt of the petition.

(10) The licensed ground ambulance provider shall file with the Department within [90 days]6 months of the end of each licensed provider's fiscal year, [an operating]a fiscal report in accordance with the instructions, guidelines and review criteria as specified by the Department. The Department shall provide a summary of [operating]fiscal reports received during the previous state fiscal year to the EMS Committee [in the October quarterly meeting]prior to adjusting maximum base rates for ground ambulance providers.

(11) The Department shall review licensed ground ambulance provider fiscal reports for compliance to Department established standards. The Department may perform financial audits as part of the review.[ If the Department determines that a licensed ground ambulance provider is not in compliance with this rule, the Department shall proceed in accordance with Utah Code Title 26-8a-504.]

(12) All licensed ground ambulance providers shall submit a written total number of patient transports for each calendar year to the Department for calculating Medicaid assessments.

(a) A written patient transport number shall be submitted within 90 days after the end of the calendar year.

(b) The submission shall include a written justification when patient transport numbers are not in agreement with patient care reports submitted to the Department as described in R426-7. Written justifications shall include a description of data reporting errors, and a plan to correct future data submission.

[(c) The Department shall use submitted patient transport numbers to calculate ambulance service providers assessments as described in Utah Code Title 26-37a-104(5).]

([d]c) Submitted patient transport numbers and justifications for patient transport numbers not in agreement with patient care report data may be evaluated, corrected, or audited by the Department.[ If the Department determines that a licensed ground ambulance provider is not in compliance with this rule, the Department may proceed in accordance with Utah Code Title 26-8a-504.]

 

KEY: emergency medical services, rates

Date of Enactment or Last Substantive Amendment: [July 1, 2018]2019

Notice of Continuation: November 10, 2015

Authorizing, and Implemented or Interpreted Law: 26-8a