RELATES TO:
KRS
311A.010,
311A.032,
61.870-61.884
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
311A.032 requires the Kentucky Board of
Emergency Medical Services to promulgate administrative regulations concerning
the posting of fee schedules of licensed ambulance providers. This
administrative regulation establishes standards and criteria governing the
mandatory posting of fees, modification of fee schedules, reporting
requirements, public posting requirements, and penalties for
nonconformity.
Section 1. Fee Schedule
Disclosure.
(1) Licensed Ground and Air
Ambulance Services, and Medical First Response agencies shall provide a
comprehensive fee schedule consistent with
KRS
311A.032.
(2) The fee schedule shall be consistent with
the Healthcare Common Procedure Coding System (HCPCS). Itemized charges shall
be reflected for each of the following:
(a)
A0428- Ambulance service, BLS, non-emergency transport;
(b) A0429- Ambulance service, BLS, emergency
transport;
(c) A0426- Ambulance
service, ALS1, non-emergency transport;
(d) A0427- Ambulance service, ALS1, emergency
transport;
(e) A0430- Ambulance
service, conventional air services, transport, one way (fixed wing);
(f) A0431- Ambulance service, conventional
air services, transport, one way (rotary wing);
(g) A0433- Advanced life support, level 2
(ALS2);
(h) A0434- Specialty Care
Transport (SCT);
(i) A0425- Ground
mileage, per statute mile;
(j)
A0436- Rotary Wing Air Mileage, per statute mile;
(k) A0435- Fixed Wing Air Mileage, per
statute mile; and
(l) Other
charges.
Section
2. Posting Requirements. Licensed Ground and Air Ambulance
Services, and Medical First Response agencies shall post fee schedules as
established in
KRS
311A.032(1)(a).
Section 3. Reporting Requirements.
(1) Licensed Ground and Air Ambulance
Services, and Medical First Response agencies shall submit:
(a) An initial fee schedule to the Kentucky
Board of Emergency Medical Services through an electronic Application for
Initial Fee Schedule in the agency KEMSIS account; and
(b) An annual fee schedule to the Kentucky
Board of Emergency Medical Services at the time of agency licensure renewal
with the electronic Renewal and Inspection Application for Class I, II, III,
IV, VII, and VIII Agencies, and the Renewal and Inspection Application for
Class VI Agencies.
(2)
Fee schedules that are modified shall be updated and posted as established in
KRS
311A.032, and an electronic Application for
Ambulance Fee Schedule Modification shall be submitted to the Kentucky Board of
Emergency Medical Services within fifteen (15) days of fee schedule
modification.
Section 4.
Accountability and Oversight.
(1) Posting
provisions as required by
KRS
311A.032(1)(a) shall be
evaluated by staff of the Kentucky Board of Emergency Medical Services at least
annually as part of the agency annual inspection.
(2) Unannounced inspections may be conducted
for a:
(a) Verification of posting
requirements;
(b) Complaint
allegation;
(c) Follow-up visit;
or
(d) Relicensing
inspection.
(3) The
Kentucky Board of
Emergency Medical Services shall:
(a) Assess a licensed ambulance agency a
monetary penalty of $150 as required by
KRS
311A.032(2)(a) and Sections
2 and 3 of this administrative regulation; and
(b) Issue a statement of violation consistent
with
202 KAR
7:501.
Section 5. Incorporation by Reference.
(1) The following material is incorporated by
reference:
(a) "Application for Initial Fee
Schedule", April 2019;
(b)
"Application for Ambulance Fee Schedule Modification", April 2019;
(c) "Renewal and Inspection Application for
Class I, II, III, IV, and VII Agencies", April 2019; and
(d) "Renewal and Inspection Application for
Class VI Agencies", April 2019.
(2) This material may be inspected, copied,
or obtained, subject to applicable copyright law, at the Kentucky Board of
Emergency Medical Services, 118 James Court, Suite 50, Lexington, Kentucky
40505, Monday through Friday, 8:30 a.m. to 4:30 p.m.
