Transportation FFS Rates & Codes

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 such as the National Park Service that operates ambulances in Grand Canyon National Park and Lake Meade National Recreation Area. Air Ambulance rates are based on a cost study of Air Ambulance Costs conducted in 2000 and are adjusted periodically based on the Consumer Price Index 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 (mean) reimbursement rates paid by commercial insurance companies and are adjusted periodically based on the Consumer Price Index for Medical Services, the Consumer Price Index for Other Medical Services and the price of gasoline in Arizona. Per Arizona Revised Statutes section 36-2239 (H), ground ambulance companies with rates regulated and set by the Arizona Department of Health Services, Bureau of Emergency Medical Services (ADHS/BMES) are reimbursed at a percentage of the ADHS/BMES determined rate. The percentage rate applied is currently 68.59% as determined pursuant to S.B. 1619 Section 29. ADHS/BEMS ground ambulance rates can be found at http://www.azdhs.gov/bems/ambul-pdf/rateschedule.pdf.

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  AHCCCS Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon enrollment.

Note: Information provided in PDF files.

• Fee-for-Service and MCO Capped Fee Schedule Effective October 1, 2012 [30KB]
• Fee-for-Service and MCO Capped Fee Schedule Effective October 1, 2011 [28KB, Excel]
• Fee-for-Service and MCO Capped Fee Schedule Effective April 1, 2011 [31KB]
• Fee-for-Service and MCO Capped Fee Schedule Effective October 10/01/2010 [31KB]
• Fee-for-Service and MCO Capped Fee Schedule Effective October 10/01/2009 [31KB]
• Fee-For-Service (FFS) Capped Fee Schedule Effective 2/1/2009 [30KB]
• Managed Care Organization (MCO) Capped Fee Schedule Effective 10/1/08 [30KB]
• Rates Effective October 1, 2008 [30KB]
• Rates Effective October 1, 2007 [34KB]

Reimbursement and General Fee Schedule FAQs

Contacts

Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs.gov.