Rock Township Ambulance District is primarily funded by three mechanisms:
- A percentage of taxes (real property tax, personal property tax, sales tax);
- Fees for medical services; and
- Miscellaneous revenue (training fees, clerical fees, etc.).
RTAD billing rates are set by the Board of Directors each year and are determined based on the costs of operating the Department. RTAD charges an applicable base rate and mileage for all transports. Patients who receive treatment from RTAD and are transported by other means or decline ambulance transport are assessed an applicable base rate for services rendered.
RTAD does charge a lower rate if the patient is an RTAD District resident. This information is determined by our billing agency, EMS|MC, based on the geographical location of the patient's physical residence. This may also be found by looking at your Jefferson County tax bill, or on the Missouri Sales and Use Tax Lookup Tool.
FEE SCHEDULE (effective dates of service: January 1, 2024 to present date)
LEVEL OF SERVICE DEFINITIONS
Basic Life Support - (BLS1) - A0428
Basic Life Support (BLS) is transportation by ground ambulance vehicle and the provision of medically necessary supplies and services, including BLS ambulance services as defined by the state.
The ambulance vehicle must be staffed by at least two people who meet the requirements of the state and local laws where the services are being furnished, and at least one of the staff members must be certified at a minimum as an emergency medical technician-basic (EMT-Basic) by the state or local authority where the services are being furnished and be legally authorized to operate all lifesaving and life-sustaining equipment on board the vehicle. These laws may vary from state to state or within a state. For example, only in some jurisdictions is an EMT-Basic permitted to operate limited equipment onboard the vehicle, assist more qualified personnel in performing assessments and interventions, and establish a peripheral intravenous (IV) line.
Basic Life Support - (BLS1) - Emergency - A0429
When medically necessary, the provision of BLS services, in the context of an emergency response.
Emergency response is a BLS or ALS1 level of service that has been provided in immediate response to a 911 call or the equivalent. An immediate response is one in which the ambulance provider/supplier begins as quickly as possible to take the steps necessary to respond to the call.
Advanced Life Support Level 1 (ALS1) - A0426
Advanced Life Support (ALS) is the transportation by ground ambulance vehicle and the provision of medically necessary supplies and services including the provision of an ALS assessment by ALS personnel or at least one ALS intervention.
An ALS assessment is an assessment performed by an ALS crew as part of an emergency response that was necessary because the patient's reported condition at the time of dispatch was such that only an ALS crew was qualified to perform the assessment. An ALS assessment does not necessarily result in a determination that the patient requires an ALS level of service. In the case of an appropriately dispatched ALS Emergency service, if the ALS crew completes an ALS Assessment, the services provided by the ambulance transportation service provider or supplier shall be covered at the ALS emergency level, regardless of whether the patient required ALS intervention services during the transport, provided that ambulance transportation itself was medically reasonable and necessary, and all other coverage requirements are met.
An ALS intervention is a procedure that is in accordance with state and local laws, required to be done by an Advanced Emergency Medical Technician (AEMT) or Paramedic.
Advanced Life Support Level 1 - Emergency (ALS1) - A0427
When medically necessary, the provision of ALS1 services, in the context of an emergency response. Emergency response is a BLS or ALS1 level of service that has been provided in immediate response to a 911 call or the equivalent. An immediate response is one in which the ambulance provider/supplier begins as quickly as possible to take the steps necessary to respond to the call.
Advanced Life Support Level 2 - Emergency (ALS2) - A0433
ALS2 is the transportation by ground ambulance vehicle and the provision of medically necessary supplies and services including (1) at least three separate administrations of one of more medications by intravenous (IV) push/bolus or by continuous infusion (excluding crystalloid fluids) or (2) ground ambulance transport, medically necessary supplies and services, and the provision of at least one of the procedures listed below:
a. Manual defibrillation/cardioversion;
b. Endotracheal intubation;
c. Central venous line;
d. Cardiac pacing;
e. Chest decompression;
f. Surgical airway; or
g. Intraosseous line