III. Emergency Ambulance Service linklink

http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159
2.40.225: Mitigation Rates For Certain Emergency Services
2.40.227: Automatic Dialing Alarm Requirements (Rep. by Ord. G59-17, 2017)
2.40.230: Authorization
2.40.240: Service Provided Only In Emergency Case
2.40.250: Service Outside Corporate Limits
2.40.260: Fees For Service
2.40.265: Billing And Collection

2.40.225: MITIGATION RATES FOR CERTAIN EMERGENCY SERVICES:linklink


The city hereby establishes cost mitigation rates for the deployment of certain emergency services by the fire department of the city for services provided and/or rendered, including the provision of personnel, supplies and equipment to the scene of motor vehicle incidents and other emergency incidents as provided below, which are based on the actual costs of the services and those costs that are usual, customary and reasonable (UCR):


A. Motor Vehicle Incidents:

Level 1 - $435.00.

Provision of hazardous materials assessment, scene stabilization and basic response services.

Level 2 - $495.00.

Includes provision of level 1 services, as well as cleanup and material used (sorbents) for hazardous fluid cleanup and disposal. Billing at this level will occur if the fire department of the city must clean up any gasoline or other automotive fluids that are spilled as a result of the accident/incident.

Level 3 - $605.00.

Relating to a car fire, provision of scene safety, fire suppression, breathing air, rescue tools, hand tools, hose, tip use, foam, exposure protection, and cleanup of gasoline or other automotive fluids that are spilled as a result of the accident/incident.

Level 4 - $1,800.00.

Includes provision of levels 1 and 2 services, as well as extrication (heavy rescue tools, ropes, airbags, cribbing, etc.). Billing at this level will occur if the fire department of the city is required to free/remove anyone from the vehicle(s) using any powered equipment. Billing at this level will not occur if the person to be extricated is unconscious or unable to move and the fire department is able to open a door to the vehicle to access and safely remove the person.

Level 5 - $2,200.00.

Includes provision of levels 1, 2 and 4 services as well as Air Care (multiengine company response, mutual aid, helicopter). Billing will occur at this level any time a helicopter is utilized to transport the patient(s).

Level 6 - Itemized response (billed to residents and nonresidents as appropriate).

In the case of an unusual incident, the fire department of the city may bill each incident as an independent incident with actual costs and/or customary mitigation rates using itemized rates deemed usual, customary and reasonable (UCR). Such incidents will be billed using itemized amounts for apparatus and personnel, plus products and equipment used.


B. HAZMAT:

Level 1 - Basic response - $700.00.

Provision of basic response services including engine response, first responder assignment, perimeter establishment, evacuations, setup and command.

Level 2 - Intermediate response - $2,500.00.

Includes provision of level 1 services as well as HAZMAT certified team and appropriate equipment, level A or B suit donning, breathing air, detection equipment, and setup and removal of decon center as necessary.

Level 3 - Advanced response - $5,900.00 (includes 3 hours of on scene time - each additional hour in excess of 3 hours is $300.00 per HAZMAT team).

Includes provision of levels 1 and 2 services as well as robot deployment, recovery and identification of material, disposal and environmental cleanup. Also includes any disposal rates for contaminated equipment and material used at scene.


C. Pipeline Incidents/Power Line Incidents: (Includes, but not limited to: gas, sewer, septic to sewer, and water pipelines.)

Level 1 - Basic response - $400.00.

Provision of basic response services including engine response, first responder assignment, perimeter establishment, evacuations, first responder setup and command. Also includes inspection without damage or breakage.

Level 2 - Intermediate response - $1,000.00.

Includes provision of level 1 services as well as HAZMAT certified team and appropriate equipment, level A or B suit donning, breathing air, detection equipment, and the supervision and/or assisting of pipeline repair.

Level 3 - Advanced response - itemized claim charges.

Includes provision of levels 1 and 2 services as well as supervision and or assisting of intermediate to major pipeline damage, setup and removal of decon center, detection, recovery and identification of material, disposal and environmental cleanup.


D. Fire Investigation:

Fire investigation team - $275.00 per hour.

Fire investigation services include scene safety, investigation, source identification, K-9/arson dog unit, identification equipment, mobile detection equipment and fire report. The claim begins when the fire investigator or investigation team responds to the incident and is billed for logged time only.


E. Fires:

Assignment - $400.00 per hour, per engine/$500.00 per hour, per truck.

Fire services include scene safety, investigation, and fire/hazard control.


F. Water Incidents: (Billed to nonresidents only.)

Level 1 - Basic response - $400.00 plus $50.00 per hour, per rescue person.

Provision of basic response services including engine response, first responder assignment, perimeter establishment, evacuations, first responder setup and command, scene safety and investigation (including possible patient contact and hazard control).

Level 2 - Intermediate response - $800.00 plus $50.00 per hour, per rescue person.

Provision of level 1 services as well as cleanup and material used (sorbents), minor hazardous cleanup and disposal. Billing will occur at this level if the fire department of the city must clean up small amounts of gasoline or other fluids that are spilled as result of the incident.

Level 3 - Advanced response - $2,000.00 plus $50.00 per hour, per rescue person and $100.00 per hour per HAZMAT team member.

Provision of levels 1 and 2 services as well as DART activation, donning breathing apparatus, detection equipment, setup and removal of decon center, recovery and identification of material, and disposal and environment cleanup. Also includes any disposal rates of contaminated equipment and material used at scene.

Level 4 - Itemized response.

In the case of an unusual incident, the fire department of the city may bill each incident as an independent incident with actual costs and/or customary mitigation rates using itemized rates deemed usual, customary and reasonable (UCR). Such incidents will be billed using itemized amounts for each trained rescue person plus rescue products and equipment used.


G. Special Rescue:

Itemized response - minimum of $400.00 per hour, per emergency response, plus $50.00 per hour, per rescue person.

Each incident will be billed in accordance with actual costs and/or customary mitigation rates using itemized rates deemed usual, customary and reasonable ("UCR"), subject to the minimum amounts set forth above. Such incidents will be billed using itemized amounts for each apparatus and each trained rescue person per hour, plus rescue products and equipment used.


H. Chief Response:

Itemized response - $250.00 per hour.

Chief response services will be charged when the fire chief for the fire department of the city directly responds to an incident, including the setup of command and providing direction of the operations, safety, and administration of the incident.


I. Implementation And Procedures:

1. The mitigation rates above are flat fees, except for itemized responses, and have been determined to be usual, customary and reasonable for the incident responses listed. The mitigation rates were determined by itemizing costs for a typical incident (from the time a fire apparatus leaves the station until it returns to the station) and are based on the actual costs, using amortized schedules for apparatus (including useful life, equipment, repairs, and maintenance) and labor rates (based upon an average department's "actual personnel expense", and not just a firefighter's basic wage). The actual personnel expense includes costs such as wages, retirement, benefits, workers' compensation, insurance, etc. When a claim is submitted, it will be itemized and based on the actual services provided in accordance with the above rates.

2. The mitigation rates shall represent an additional cost of the claim for damages of the vehicles, property and/or injuries, and shall be filed with the insurance carrier of the owner of the vehicle, owner of the property, or the responsible party(ies) as set forth above. In some circumstances, the responsible party will be billed directly.

3. The costs and mitigation rates set forth in this section shall not be charged to any person that is a resident of the city of Elgin at the time of the incident for which the charges were incurred.

a. For the purposes of this section, a "resident" is defined as the following: 1) any person that maintains his or her permanent residence within the corporate limits of the City of Elgin; 2) any person that is the majority owner of a business that operates from real property that is owned by the business and located within the City of Elgin; or 3) any business that operates from real property that is owned by the business and located within the City of Elgin.

b. For the purposes of this section, a "business" includes any joint stock company, corporation, association, joint venture, limited liability company, club or partnership, whether for profit or not for profit.

4. Responses involving intoxicated drivers, HAZMAT cleanup, intentional or negligent acts, or any act that violates any local, State or Federal law or regulation, may be subject to all applicable mitigation rates regardless of residency. (Ord. G47-11, 2011)

http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252680
2.40.227: AUTOMATIC DIALING ALARM REQUIREMENTS:linklink

(Rep. by Ord. G59-17, 2017)
http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252681
2.40.230: AUTHORIZATION:linklink

The Fire Department of the City is authorized and directed to provide emergency ambulance service to injured persons as soon as practicable following receipt of fully equipped ambulances and adequate training of a sufficient number of firemen to render such emergency service. Service shall be limited to transportation of critically ill or injured persons whose lives are threatened unless medical treatment is immediately rendered. (Ord. G51-76 § 1, 1976; Ord. G-1628 § 1, 1973)
http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252682
2.40.240: SERVICE PROVIDED ONLY IN EMERGENCY CASE:linklink

Emergency ambulance service provided by the Fire Department of the City shall be provided only in cases of actual and extreme emergency to injured persons and only for the purpose of transporting said persons to hospitals in accordance with written protocols pursuant to and in compliance with the provisions of 210 Illinois Compiled Statutes 50/3.20(c)(5), as amended. (Ord. G61-09 § 1, 2009)
http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252683
2.40.250: SERVICE OUTSIDE CORPORATE LIMITS:linklink

The Fire Department of the City is authorized to provide ambulance service outside the corporate limits of the City only in the event that no other ambulance service is available, pursuant to a mutual aid agreement or automatic aid agreement or so as to otherwise comply with the provisions of 210 Illinois Compiled Statutes 50/3.20(c)(5), as amended. (Ord. G61-09 § 2, 2009)
http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252684
2.40.260: FEES FOR SERVICE:linklink

Fees for emergency ambulance services and prehospital care provided by the Fire Department of the City shall be charged to the person receiving such services, or the person's estate, in accordance with the following schedule:

Basic life support emergency (BLS)   $1,850.00  
Advanced life support emergency (ALS-1)   1,850.00  
Advanced life support emergency (ALS-2)   1,850.00  
Mileage (as measured from the location of the ambulance call to the hospital)   $15.00 per mile or portion thereof  

(Ord. G57-17, 2017)
http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252685
2.40.265: BILLING AND COLLECTION:linklink


A. All those persons receiving emergency ambulance service from the Fire Department of the City that have either: 1) insurance coverage that provides for the payment, in whole or part, of the ambulance service fee, or 2) are covered by a governmental entity program such as Medicare or Medicaid that provides for the payment, in whole or in part, of the ambulance service fee, or 3) have the ability to obtain reimbursement, in whole or in part, of the ambulance service fee from a noninsurance/nongovernmental entity, shall upon the request of the City provide the names and addresses of said third party to the City.

1. All those persons receiving emergency ambulance service that have insurance coverage for such service shall be requested to submit a claim therefor to their insurance companies to reimburse the City.

2. Any person assigning their benefits under Medicare or Medicaid shall receive a credit on his account for any ambulance fees charged that exceed the amount allowable by Medicare or Medicaid. The City may require proof that such excess fees have been submitted and denied by the appropriate governmental agencies.

3. All those persons receiving emergency ambulance service that have the ability to obtain reimbursement from a noninsurance/nongovernmental entity for such service shall be requested to submit an appropriate claim therefor to said entity to reimburse the City.


B. The Fire Department shall not refuse to provide any service to any person, business or entity that has not paid for services previously provided or that otherwise owes any money for services previously provided. (Ord. G46-11, 2011)



Footnote 1: 65 ILCS 5/11-6-1, 5/11-6-2, 5/10-2.1-1 et seq.

http://sterlingcodifiers.com/codebook/index.php?book_id=&chapter_id=104159#s1252686