Ariz. Admin. Code § R9-25-1107 - Rate Calculation Factors (A.R.S. Section 36-2232)

A. When evaluating a proposed mileage rate, the Department shall consider the following factors:

1. The cost of licensure and registration of each ground ambulance vehicle;

2. The cost of fuel;

3. The cost of ground ambulance vehicle maintenance;

4. The cost of ground ambulance vehicle repair;

5. The cost of tires;

6. The cost of ground ambulance vehicle insurance;

7. The cost of mechanic wages, benefits, and payroll taxes;

8. The cost of loan interest related to the ground ambulance vehicles;

9. The cost of the weighted allocation of overhead;

10. The cost of ground ambulance vehicle depreciation;

11. The cost of reserves for replacement of ground ambulance vehicles and equipment; and

12. Mileage reimbursement, as established by Medicare guidelines for EMS and transport provided by a ground ambulance service, including considerations to maximize Medicare reimbursement.

B. When evaluating a proposed BLS base rate, the Department shall consider the costs associated with providing EMS and transport.

C. When evaluating a proposed ALS base rate, the Department shall consider the factors in subsection (B) and the additional costs of ALS ambulance equipment, ALS personnel, and professional liability insurance for ALS personnel.

D. In evaluating rates, the Director shall make adjustments to a certificate holder's rates to maximize Medicare reimbursements.

D. When evaluating a proposed critical care rate, the Department shall:

1. Consider the factors in subsections (B) and (C) and the additional costs of providing critical care services; and

2. Ensure that the critical care rate is:

a. Equivalent to at least the amount for specialty care transport, as used in federal Medicare guidelines; and

b. Greater than an ALS base rate.

E. The Department shall determine the standby waiting rate as no higher than the BLS base rate divided by 4.

Notes

Ariz. Admin. Code § R9-25-1107

New Section adopted by final rulemaking at 7 A.A.R. 1098, effective February 13, 2001 (Supp. 01-1). Amended by final rulemaking at 30 A.A.R. 581, effective 3/7/2024.