How Are Texas EMS Agencies Funded?

Local Governments

Many Local Governments Determine Rates

In many Texas communities, the local government determines ambulance rates.

The process involves community input and an analysis of what fees are necessary to ensure that 911 services can be provided.

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Insurance

EMS Agencies Bill a Patient’s Insurance for Services

As with any health care service, Texas EMS agencies bill patients’ insurance for the service.

New Payment Models

Emergency Triage, Treat & Transport

The new ET3 model in Medicare and Texas Medicaid allows Texas EMS agencies to bill Medicare and Medicaid for treatment on the scene, which relieves the hospital burden for both patients and hospitals.

Charity Events

Barbecues and Other Charity Events Help Fund Many EMS Agencies

Many Texas EMS agencies, particularly those in rural areas, rely on charity events, such as barbecues, to help fund their operations.

Taxes

Taxpayers May Have to Fill the Void

When health insurance payments, patient payments and other means are not adequate to cover expenses, an EMS agency may rely on taxpayer funding to cover the difference.