SERVICE RATE SURVEY - PLEASE COMPLETE BY FRIDAY, JUNE 27TH |
**COMPLETE A SURVEY FOR EACH SERVICE AREA IF THE AREA HAS DIFFERENT RATES**
House Bill 1850 / Act 867 and House Bill 1863 / Act 836 - EMS Provider Reimbursement
The Arkansas State Legislature has mandated by law that service rate data be collected and submitted to the Arkansas Commission of Insurance. Your time and attention ensure compliance and are very much appreciated.
Both House Bill 1850 / Act 867 and House Bill 1863 / Act 836 of the 2025 Legislative Session, which were signed by the Governor on April 17, 2025, have specific effects on EMS Providers related to reimbursement.
To prepare to complete the survey, if you operate in an area with a locally mandated rate, you will need the following information:
- The name of the mandating entity (city, town, county, etc)
- The date rate schedule was formally adopted (month and year)
- The adopted rates for the following codes A0382, A0398, A0425, A0427, A0429 A0433, A0434, A0426, A0428, G2021, and G2022
- The adopted rates for the following codes A0382, A0398, A0425, A0427, A0429 A0433, A0434, A0426, A0428, G2021, and G2022
If you do not have a locally approved or contracted rates, there will be an option to provide that information on the survey.
One of three things will occur specific to your reimbursement:
1) If you operate in a city, county, municipality, or region that has adopted a fee schedule for Ambulance services, the Commercial Insurer must pay you the adopted fee schedule.
2) If you operate in a city, county, or region that has not adopted a fee schedule for Ambulance Services, the Commercial Insurer must pay you the LESSOR of:
a. Three hundred twenty-five percent (325%) of the Medicare Ambulance Fee Schedule, Arkansas Rural Rate
OR
b. Your service’s billed charges
1) If you operate in a city, county, municipality, or region that has adopted a fee schedule for Ambulance services, the Commercial Insurer must pay you the adopted fee schedule.
2) If you operate in a city, county, or region that has not adopted a fee schedule for Ambulance Services, the Commercial Insurer must pay you the LESSOR of:
a. Three hundred twenty-five percent (325%) of the Medicare Ambulance Fee Schedule, Arkansas Rural Rate
OR
b. Your service’s billed charges
Commercial Insurers, regardless of whether you are in or out of network, are required to pay your service as detailed above.
By July 1, 2025 the Arkansas Ambulance Association is now required by law to provide to the Commissioner of the Arkansas Department of Insurance a listing of all cities, counties, municipalities, or regions that have adopted and Ambulance Fee Schedule.