Utah Administrative Code
Topic - Health
Title R426 - Population Health, Emergency Medical Services
Rule R426-8 - Emergency Medical Services Ground Ambulance Rates and Charges
Section R426-8-200 - Ground Ambulance Transportation Revenues, Rates, and Charges

(1) A licensed ground ambulance provider shall not charge more than the rate described pursuant to Subsections R426-8-200(6) through (10)

(2) Net income and subsidies for a licensed ground ambulance provider shall not exceed 10% of gross revenue.

(3) A licensed ground ambulance provider may lower a rate at their discretion.

(4) A licensed ground ambulance provider shall not charge a base rate for transportation to a patient who is not transported.

(5) The Department may adjust each rate annually based on financial data received from licensed ground ambulance providers.

(6) Ground ambulance base rates for patient transport to a hospital or patient receiving facility are as follows:

(7) A mileage rate may be charged up to a maximum of $42.24 per mile computed from the location of the patient upon ambulance arrival to the destination hospital or patient receiving facility. A fuel fluctuation surcharge of $0.25 per mile may be added when the diesel fuel price exceeds $5.10 per gallon, or the gasoline price exceeds $4.25 per gallon as invoiced.

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

(9) If more than one patient is transported from the location of the patients to the same destination hospital or patient receiving facility, a charge shall be assessed to each patient as follows:

(10) A licensed ground ambulance provider may charge separately for a round trip if the following conditions apply:

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

(12) A licensed ground ambulance provider may petition the Department for a temporary service-specific surcharge when there is a temporary escalation of costs. The petition shall specify the surcharge amount and financial justification. The Department will make a final decision on the proposed surcharge within 30 days of receipt of the petition.

(13) A licensed ground ambulance provider shall submit a fiscal report in accordance with the instructions, guidelines, and review criteria as specified by the Department.

(14) The Department may review a licensed ground ambulance provider's fiscal report for compliance. The Department may perform financial audits to ensure compliance to reporting requirements.

(15) Each licensed ground ambulance provider shall submit a written total number of billed patient transports for each calendar year to the Department for calculating Medicaid assessments.