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AHCCCS establishes reimbursement rates for air ambulance services and for ground ambulance
services provided by out-of-state companies, companies operated by American Indian tribes,
and federal agencies that operate ambulances in Grand Canyon National Park and Lake Meade
National Recreation Area.
Air ambulance rates are based on a study of air ambulance costs conducted in 2000 and are
adjusted periodically based on the Consumer Price Index (CPI) for Other Medical Professionals,
the CPI for Transportation, and the Federal Aviation Administration forecast of jet fuel prices.
Ground ambulance rates set by AHCCCS were initially established in 1994 based on the average
reimbursement rates paid by commercial insurance companies and are adjusted periodically
based on the CPI for Medical Services, the CPI for Other Medical Services and the price of
gasoline in Arizona.
Per Arizona Revised Statutes § 36-2239(H), ground ambulance companies with rates regulated and set by the Arizona Department of Health Services, Bureau of Emergency Medical Services (ADHS/BEMS) are reimbursed at a percentage of the ADHS/BEMS determined rate. The percentage applied for dates of service 10/01/2014 thru 09/30/2015 is 74.74% of the ADHS/BEMS rates in effect on 08/02/2014. The percentage applied for dates of service 10/01/2015 thru 09/30/2016 is 68.59% of the ADHS/BEMS rates in effect on 07/01/2015.
The appearance on this website of a code and rate is not an indication of coverage,
nor a guarantee of payment. AHCCCS covered procedures can be viewed in the
Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon
and General Fee Schedule FAQs
Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs.gov.