Wisconsin Code § 256.23

Ambulance service provider fee
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(1) In this
section:
(a) “Eligible ambulance service provider” means any privately owned ambulance service provider. “Eligible ambulance
service provider” does not include any ambulance service
provider that is owned by any municipality or group of municipalities regardless of whether or not the ambulance service
provider is organized as a nonprofit corporation.
(b) “Emergency ambulance transport” means all of the
following:
1. Each ground emergency ambulance transport that requires
the delivery of life support services, including basic life support
or advanced life support, by an emergency medical responder or
emergency medical services practitioner at any practice level.
2. Any other ambulance transport that is designated by the
department to be subject to the fee under sub. (2).
(2) For the privilege of doing business in this state, there is
imposed on each eligible ambulance service provider a fee that is
equal to a uniform percentage, as determined under sub. (3), of
the eligible ambulance service provider’s net patient revenues
from emergency ambulance transports. Except as provided in
sub. (4), each eligible ambulance service provider shall pay the
fee under this subsection in a manner determined by the depart-

ment acting in collaboration with the Professional Ambulance
Association of Wisconsin, or its successor organization, no more
frequently than quarterly. An eligible ambulance service
provider cannot increase rates it charges for its services because
of the imposition of the fee under this subsection.
(3) The department shall establish the uniform percentage of
the eligible ambulance service provider’s net patient revenues so
that the total amount of fees collected from an eligible ambulance
service provider under sub. (2) in a state fiscal year is an amount
not less than one quarter of 1 percent lower than the maximum
limit for a provider fee under 42 CFR 433.68 (f) but does not exceed the maximum limit.
(4) The department may allow an eligible ambulance service
provider that is unable to make a payment of the fee by the date
specified under sub. (2) to make a delayed payment.
(5) In accordance with s. 20.940, the department shall submit
to the federal department of health and human services a request
for any state plan amendment, waiver or other approval that is required to implement this section and s. 49.45 (3) (em). If federal
approval is required, the department may not implement the collection of the fee under sub. (2) until it receives approval from the
federal government to obtain federal matching funds.
(6) In each fiscal year, the secretary of administration shall
transfer from the ambulance service provider trust fund under s.
25.776 to the appropriation under s. 20.435 (4) (jw) an amount
equal to the annual costs of administering the ambulance assessment as specified under this section and making supplemental reimbursements to ambulance service providers under s. 49.45 (3)
(em).

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