AAA Non-Emergency Task Force Survey

The AAA's Non-Emergency Task Force was established to represent the issues faced by ambulance services who provide crucial non-emergency services to communities around the country. Prior to sharing information with the task force, company names will be removed from entries to maintain confidentiality.

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* 1. Company Name:

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* 2. Email Address (optional, will only be used if we receive duplicate entries from your company):

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* 3. In what state(s) does your company operate in?

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* 4. What type of ambulance service is your company?

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* 5. How many annual transports does your service complete?

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* 6. What percentage your service's transports are Non-911 Emergent?

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* 7. What percentage of your service's Non-emergency transports are ALS?

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* 8. What percentage of your service's Non-emergency transports are BLS?

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* 9. Does your state have a Medical Necessity Criteria or specific form for non-emergency ambulance for Medicaid (not PCS)?

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* 10. Does your state allow stretcher vans?

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* 11. If yes, does your service provide stretcher van transport?

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* 12. Does your state utilize brokers for Medicaid managed Care?

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* 13. If yes, how many?

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* 14. Please share other issues or concerns you have about non-emergency transport in your service/state:

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