26-19 Amending Ordinance to Address Ambulance/Medical Fees

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(e) Advanced Life Support, Level 1 (ALS 1): Means transportation by ground ambulance vehicles, medically necessary supplies and services and either an ALS assessment by ALS personnel or the provision of at least one ALS intervention. (f) Advance Life Support, Level 2 (ALS2): Means either transportation by ground ambulance vehicle, medically necessary supplies and services, and the administration of at least three (3) medications by intravenous pus/bolus or by continuous infusion excluding crystalloid, hypotonic, isotonic, and hypertonic solutions (Dextrose, Normal Saline, Ringer's Lactate); or transportation, medically necessary supplies and services,and the provision of at least one(1)of the following: (1) Manual defibrillation/cardioversion (2) Endotracheal intubation (3) Central venous line (4) Cardiac pacing (5) Chest decompression (6) Surgical airway (7) Intraosseous line (g) Non-Transport Medical Calls: Means a response to a medical emergency call by ambulance vehicle and the administration of ALS skills upon or medication given to a patient who then refuses transport to the hospital. (h) Paramedic Intercept Services: Means the rendering of lead paramedic advanced life support (ALS) services, Level 1 or Level 2 during ambulance transport when the patient needs lead paramedic ALS service that the transporting ambulance is unable to provide. The lead paramedic is dispatched to meet the transport ambulance to provide the necessary lead paramedic-services. (h) f Mileage, Rural, shall apply to vehicle runs made to areas in zones or zip codes designated as rural by Medicare and the U.S.Department of Health and Human Services in its Medicare regulations. (j)The above fees shall take effect on August 1,2016 September 1,2019. (k) Hereafter, and in the event Medicare or other federal or State health care regulations require or allow an adjustment to ambulance/medical user fees, the South Bend Fire Chief is authorized to and may amend once annually the user fees set out in subpart (a) of this Section by the same percentage as the Medicare Fee Schedule rates for such services have been adjusted. This adjustment shall be effective on the calendar date immediately following the date on which written notice of said fee rate adjustment is filed in the office of the City Clerk. At the time such notice is filed,a copy of the new rates shall be made available in paper form for public viewing in the South Bend Central Fire Station, and such new rates shall also be published promptly on the City's web site.