Certificate of Necessity:
The Lake Mohave Ranchos Fire District holds Certificate of Necessity (CON) #99 from the Arizona Department of Health Services (AZDHS). This establishes our authority to provide medical transport within the area outlined in our CON. Our area is approximately 2000 square miles:
North – South from U.S. Route 93 mile 0 (The Hoover Dam) to mile marker 50.
East – West from Meadview, AZ to the Colorado River.
Due to the large coverage area, we frequently rely on services of rotor aircraft for transport of critical patients and patients that require specialized treatment centers.
For additional resources and useful tips you can visit:
Hands Only CPR America Heart Association
If you came to the fire station for a basic medical assessment, there is no charge. Please note however that we can not administer drugs or perform other invasive treatments witbhout transporting you to the hospital for physician evaluation. Unfortunately, this means that you can not come to the station for a breathing treatment because you ran out or have not been able to refill your prescription! We are not licensed to operate as a walk in/walk out clinic, and our continued ability to provide life saving services to this community is dependant on following ADHS and DEA rules and regulations.
NOTE: There is no charge for coming into the station to get checked out, whatever your medical problem may be.
If you call the ambulance to come to your location or if we transport you to the hospital, you will be billed as required by the Arizona Department of Health Services.
Effective June 19, 2018 the Arizona DHS, Bureau of Emergency Medical Services & Trauma System, has established the Lake Mohave Ranchos Fire District ambulance rates as follows:
- ALS Base Rate: $1845.11
- BLS Base Rate: $1797.48
- Mileage: $15.01 (Per Mile)
- Standby/Waiting Time: $461.28 (Per Hour)
Arizona DHS/EMS has the following Requirement(s):
- Should the patient come directly to the Fire Station and NOT be transported, there will be NO Charge.
- Should an ambulance be called to come to a residence or a scene and the patient(s) are NOT transported, the patient(s) will be billed for the base rate.
- When transporting 2 or more patients in the same ground ambulance, the certificate holder shall assess each patient: Fifty percent of the mileage rate and one hundred percent of the ALS or BLS base rate.
These are guidelines that are set forth by Arizona DHS/EMS. Should you have questions or comme nts that you wish to convey, please forward them to:
Arizona Department of Health Services
Bureau of Emergency Medical Services
1651 East Morten, Suite 130
Phoenix, AZ 85020
(620) 861-0809 ext. 206
(602) 861-9816 FAX
There seems to be some confusion regarding some aspects of the Lake Mohave Ranchos Fire District Ambulance Service. We will attempt in this article to clarify some of the questions that rise from time to time.
The Ambulance Service is NOT funded solely by tax dollars. It is funded primarily by charging for services rendered and the occasional grant. Tax dollars may subsidize the ambulance service to a greater or lesser degree, depending upon the management of the ambulance service at any point in time. The Ambulance Service has a Certificate of Necessity (CON) through the Arizona Department of Health Services, which is a contract requiring that certain rules and regulations be followed. Among those is a requirement that the ambulance service charge a fee for service as established by the Arizona Department of Health Services. The C.O.N. allows for “Public Assist”, without charging a fee, which is limited to helping an individual in a manner which does not include any assessment or treatment. An example would be, helping an invalid get from the car to the house after a trip to the doctor. That “public assist” however, becomes a “billable call” if the medic takes the patient’s blood pressure, checks blood sugar, or does any other such assessment or treatment.
The rub comes when the person refuses transport to the hospital after allowing assessment or treatment. Insurance companies will not pay for ambulance service when no transport takes place. That leaves the patient responsible for the bill. There are places in the country where the ambulance service IS covered 100% by tax dollars and people may call for the ambulance to come to their place of residence without being charged for a blood pressure check, etc. Unfortunately, that is not the case here. There is NO charge if you come in to the fire department for your blood pressure checks, etc. If the ambulance goes to you, the base rate will be charged.
Finally, frivolous use of the ambulance service increases the cost of operating it as well as making it unavailable for emergencies. It is important to note that if you feel badly enough to call 911 then you need to follow through with transport to the hospital. Please recognize the ambulance service as a high tech highly trained, high cost mode of life support transportation for the 60 mile trip to the hospital, and reserve use of it for that pursuit.
Lake Mohave Ranchos Fire District Certificate of Necessity (CON) Information:
For information on our Certificate of Necessity visit our CON Page.