The American Ambulance Association is pleased to release its 2025 State Medicaid Rate Survey. This survey sets forth the fee-for-service Medicaid rates for all 50 states. For each state, the Survey lists the rate paid for each of the following procedure codes:
A0428 – BLS Non-Emergency
A0429 – BLS Emergency
A0426 – ALS Non-Emergency
A0427 – ALS Emergency
A0433 – ALS-2
A0434 – SCT
A0225 – Neonate Transport
A0998 – Treatment, No Transport
A0425 – Mileage
A0422 – Oxygen
A0382/A0398 – BLS/ALS Routine Disposable Supplies
A0420 – Wait Time
A0424 – Extra Attendant
The rates set out in this survey are based on publicly available information provided by the various state Medicaid agencies. While the AAA has taken steps to verify the accuracy of the information on this Survey, it is possible that the rates provided in the Survey may not reflect changes to a state’s reimbursement policies that have not been made publicly available. These rates may also not reflect any emergency budgetary measures or other temporary reductions imposed by a state.
The AAA’s goal is to make this survey as accurate as possible. Therefore, if you believe the rates for your state are inaccurate, please contact hello@ambulance.org for assistance.
The American Ambulance Association (AAA) is pleased to announce the release of its new state-level whitepaper, Ground Ambulance Balance Billing: Overview and Recommendations. Developed by a collaborative team of industry experts, this comprehensive resource provides an in-depth examination of the complex regulatory landscape surrounding ground ambulance billing and the ongoing challenges of keeping consumers out of the middle of payment disputes. The whitepaper offers an overview of existing state laws, gaps in current policy, and pragmatic recommendations—including standardized payment methods and consumer protections—that can inform both policymakers and EMS providers nationwide.
By sharing promising practices from around the country and highlighting the recent work of the Ground Ambulance and Patient Billing Advisory Committee, Ground Ambulance Balance Billing: Overview and Recommendations underscores the AAA’s commitment to safeguarding patients while supporting fair, sustainable reimbursement for ambulance services. We encourage all EMS stakeholders, insurers, and legislators to review this important paper and join us in shaping policies that protect patients and ensure the ongoing availability of these vital, life-saving services.
The American Ambulance Association (AAA) seeks proposals from qualified consulting firms to provide strategic services in the field of ambulance and emergency medical services. The selected firm will work collaboratively with the Association to identify opportunities, analyze state landscapes, develop policy recommendations, and manage the project efficiently.
About the American Ambulance Association
Caring for People—First.
The American Ambulance Association safeguards the future of mobile healthcare through advocacy, thought leadership, and education. AAA advances sustainable EMS policy, empowering our members to serve their communities with high-quality on-demand healthcare. For more than 40 years, we have proudly represented those who care for people first. AAA’s 1500+ organizational members serve cities and counties in all 50 states.
Scope of Services
The consulting firm shall provide the following services:
Planning and Strategy Session: Convene a strategy session with key AAA leaders to prioritize states for research and opportunity development.
State Landscape Research and Analysis: Conduct comprehensive research and analysis for no fewer than ten states, focusing on:
State statutes, regulations, and Medicaid policies for ambulance services.
Medicaid fee schedules for ambulance services.
State policies on balance billing and treatment in place.
Initiatives addressing ambulance workforce shortage, including the use of grants and ARPA funds, with a particular focus on availability or potential availability for non-governmental EMS providers.
Policy Recommendation Development: Collaborate with AAA to develop in-depth state-level policy recommendations on the topics of EMS workforce recruitment and retention, balance billing, and treatment in place.
Whitepaper Development: Write, edit, and publish no fewer than three in-depth whitepapers focused on state-level EMS recruitment and retention, balance billing, and treatment in place policy. The whitepapers should be suitable for use by EMS providers and state level legislators and regulators seeking to identify state EMS policy best practices.
Project Management & Communication: Provide robust project management, including regular client meetings to review goals and progress during the development of policy recommendations and whitepapers. Facilitate regular coordination and progress review calls and monthly written updates.
All deliverables should be received in calendar year 2024.
Fees and Expenses
Proposals must include a detailed fee structure, including hourly rates for various personnel and any applicable prorated fees. A fixed total or capped amount is strongly preferred over uncapped “time and expenses” billing.
Submission Guidelines
Proposals should be submitted by January 31, 2024 to info@ambulance.org with the subject line “State EMS Whitepaper Proposal.” Proposals should include a detailed approach to the scope of services, a proposed timeline for deliverable development, detailed qualifications of the team, and a clear fee structure. Submitters should include examples of past work of similar scope in the broader healthcare field.
Selection Criteria
Proposals will be evaluated based on the firm’s experience, approach to the project, team qualifications, and cost-effectiveness. Notification will be delivered by February 29, 2024.
Thursday, September 7, 2023 | 8:30am–4:00pm Eastern
Join fellow state-level ambulance and EMS association leaders for a day of networking and idea exchange at the inaugural State Association Leadership Excellence Conference! Share challenges, successes, and innovations with mobile healthcare leaders from across the country.
American Ambulance Association
State Association Leadership Excellence (SALE) Conference
September 7, 2023 | 8:30–16:00 ET
Niagara Falls USA Convention Center
Topics
Together, we will explore tactics for growing the reach and voice of your state association.
Advocacy Impact: Grassroots & Grasstops Engagement Case Studies
Medicaid Strategies (rate increases, crossovers)
Commercial Insurance Initiatives (balance billing, direct pay)
Niagara Falls USA Convention Center