2. Ambulance Transportation Rate IncreasesKALISPE RFj DEPARTMENT
Randy Brodehl — Fire Chief PO Box 1997
-11111s. A; m. �. .
Daniel Diehl Assistant Chief/Operations � -�d312 First Aven
ue enue East
DC Haas Assistant Chief/Prevention Kalispell, Montana spe , 59943
Phone: (406) 758.7760
FAX: (406) 758-7952
51112007
To: Mayer Pamela B. Kennedy
and Kalispell City council
FROM: Bandy Brodehl, Fire chief
James H. Patrick, city Manager
SUBJECT: Ambulance transportation rate increases
COUNCIL MEETING DATE: May 14, 2007
BACKGROUND: The Kalispell Fire Department provides ambulance service to the City of
Kalispell and the surrounding areas in the Flathead Valley. This service is funded through
a special revenue fund so operates without City tax base support. Ambulance transport
rates were last adjusted January 15, 2006. Since then, there have been significant cost
increases in fuel, wages, and supplies. While revenue recovery has been stable, costs for
fuel, personnel, and supplies continues to increase. The ambulance service also receives
approximately $78,000 per year as the City's portion of a 3 mill county -wide EMS levy.
The State of Montana has begun providing annually adjustment figures used to establish
the amount that is billable to Medicare and Medicaid. This is based on a statewide
evaluation of costs associated with ambulance transport of patients. This year's
adjustment is 4.0 percent. Based on this evaluation, and a similar increase in costs
experienced by the enterprise fund, this is a recommendation for an annual increase to
offset actual cost changes as identified by the State of Montana as shown by the attached
table.
In addition, a fee of $10.97 has been identified to offset costs administrative casts to the
city.
FISCAL IMPACTS: This increase in fees should allow the Ambulance Fund to remain
viable for our community without having an undue impact on patients or city taxpayers.
RECOMMENDATIONS:
Rates for ambulance services are set by City Ordinance so must
be approved by the City Council. The department is requesting that Council approve the
rate changes to the fee schedule as shown in the attached table.
Please contact City Manager Patrick or Chief Brodehl if you have any questions.
Respectfully submitted,
Yt
F r e l Fire Chief es H. Patrick, tt� Manager
KALISPELL FIRE DEPARTMENT -PROPOSED AMBULANCE TRANPORTATION RATE CHANGES
5/7/200?
PROPOSED RATE
CHANCES
Current
rate
40A cost
increase
Administrative
fee
Supplies
inclusion
Recommended rate
Basic Life Support, Non-
eme enc
Base lute
272.60
19.90
$10.97
$ -
$ 294.47
Loaded mile rate
9.50
$ 9.88
Basic Life Support,
Eme enc
Base Rate
603.20
24.13
$10.97
$ -
$ 638.130
Loaded mile rate
9.50
$ 9.88
Advanced Life Support,
Non-eme enc
Base Rate
$
353,80
$
14.15
$10.97
S
$ 378.92
Loaded mile rate
9.50
$ 9.88
Advanced Life Support
Level l
Base Rate
746-77
29.87
$10.97
$ -
$ 799.69
Loaded mile rate
9.50
$ 9.88
Advanced We Support
Level 11
Base Rate
981.20
39.25
$10.9 •
$ 11.86
$ 1,043.28
Loaded mile rate
9.50 1
$ 9.88