Florida Ambulance Association News

Save the Date: Rural Health Transformation Program Webinar

Meghan Winesett — Wed, 11 Feb 2026 19:07:23 GMT

Dear FAA Members,
Please see the below notice from the state on the Rural Health Transformation Program.

Save the Date: February 18, 1 PM-2PM EST.

Join our webinar to explore the Rural Health Transformation Program. Gain insights directly from the Agency for Healthcare Administration (AHCA) on program structure, timelines, and expectations.

Register today at: https://events.gcc.teams.microsoft.com/event/0e47fe6f-588d-45df-9c31-9b37979af754@583c5f19-3b64-4ced-b59e-e8649bdc4aa6

In addition - we encourage all FAA members to track the FAQ the state has posted related to the RHTP, which is regularly updated: https://ahca.myflorida.com/rural-health-transformation-program.

Thank you!

Congratulations to Adriana Yanni - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:21:10 GMT

Adriana Yanni

Logistics Supervisor
Ambitrans Ambulance

Adriana Yanni has served Ambitrans for more than 20 years and has been instrumental in building and strengthening the organization’s Logistics Department. Through her vision, dedication, and leadership, Adriana helped expand the department to include mobile logistics drivers who deliver supplies and manage inventory across Ambitrans’ entire service area, ensuring operational readiness at all times.

Adriana plays a vital behind-the-scenes role in supporting frontline EMS providers. She ensures crews consistently have the equipment, supplies, and resources necessary to deliver safe, efficient, and high-quality patient care. Her attention to detail, proactive problem-solving, and commitment to excellence directly impact patient safety and the success of field operations every day.

Through innovation and long-term commitment, Adriana has helped shape the foundation of Ambitrans’ operational infrastructure. Her work exemplifies how strong logistics and operational support are essential components of EMS excellence and system reliability.

Ambitrans is proud to recognize Adriana Yanni as a Star of Life for her dedication, leadership, and lasting impact on the organization and the communities it serves.

Congratulations to Charles Toney - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:19:57 GMT

Charles Toney
Emergency Medical Technician
American Medical Response – Broward County

Charles Toney has served American Medical Response since October 10, 2008, dedicating his career to providing professional, compassionate care to the citizens of Broward County. Throughout the majority of his tenure, Charles has been a trusted EMT responsible for transporting patients to and from hospitals, consistently demonstrating reliability, empathy, and a strong commitment to patient safety.

As his experience grew, Charles transitioned to working primarily at Gulfstream Park, where he provides emergent medical care to jockeys during race days. In this high-risk environment, he has responded to numerous “jockey down” incidents, earning a reputation for exceptional composure, clinical skill, and sound judgment under pressure.

One incident in particular highlights Charles’s leadership and quick thinking. During a race-day emergency involving a collision between two horses, three jockeys were injured when one horse fell and another was trampled. Charles arrived on scene, rapidly assessed the situation, and immediately requested a second on-track unit to assist with rapid extrication and packaging of an injured jockey for transport to the emergency department. His decisive actions ensured timely care while minimizing further risk to patients and responders.

Charles Toney exemplifies the highest standards of emergency medical services through his calm demeanor, teamwork, and unwavering focus on patient safety. His professionalism and dedication make him a valued member of the AMR team and a deserving recipient of Stars of Life recognition.

Congratulations to Dana Shultz - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:19:08 GMT

Dana Shultz

Critical Care Paramedic & Field Training Officer
Sunstar Paramedics

Originally from Zanesville, Ohio, Dana Shultz brings more than four decades of dedication to patient care and medical service. While Dana officially entered emergency medical services in 2016, his journey in medicine began much earlier. In 1982, he earned First Aid and CPR certification as a lifeguard before serving as a U.S. Navy Hospital Corpsman. While assigned alongside the United States Marine Corps with the 2nd Medical Battalion and 2nd Force Service Support Group, Dana was trained as a battlefield medic, establishing a lifelong foundation of discipline, compassion, and service.

Inspired by the iconic EMS figures Johnny and Roy from Emergency! and by parents who helped form a volunteer fire department and pursued EMT training themselves, Dana felt a calling to emergency medicine early in life. While working in a local hospital and pursuing a nursing degree, he observed the autonomy, leadership, and impact of Paramedics in the emergency department—an experience that ultimately redirected his path toward paramedic training and led him to join Sunstar Paramedics.

Throughout his EMS career, Dana has served in numerous roles, including EMT, Paramedic, Critical Care Paramedic, Field Training Officer II, Honor Guard member, and Continuing Medical Education instructor. He is an instructor for American Heart Association Basic Life Support, Advanced Cardiovascular Life Support, Pediatric Advanced Life Support, American Red Cross ACLS, and serves as a county CME educator. In these roles, Dana plays a vital part in onboarding new employees, delivering protocol education, and teaching specialized courses such as Emergency Pediatric Care and Prehospital Trauma Life Support.

One of Dana’s most significant contributions to Sunstar has been his leadership within the EMR-to-EMT program. Through education, mentorship, and encouragement, he has helped guide Emergency Medical Responders into EMT roles, strengthening clinical competency, building confidence, and supporting long-term workforce development and succession planning.

Dana has been recognized for excellence by the Osteopathic Medical Society, honored as an HCA Allstar on multiple occasions, and received special recognition for strike team service during Hurricane Michael. Despite these accolades, Dana considers his greatest professional achievement to be helping clinicians—new and experienced alike—understand the “why” behind patient care, connecting protocols to purpose and medicine to compassion.

Known for leading with empathy, Dana instills the belief that every patient deserves dignity, respect, and understanding. Deeply passionate about education, mentorship, and wellness in EMS, he is committed to supporting colleagues through both professional challenges and personal moments of stress or self-doubt. In addition to his work at Sunstar, Dana serves on the Pinellas County Emergency Medical Corps, continuing a lifelong commitment to service.

Sunstar Paramedics is proud to recognize Dana Shultz as a Star of Life.

Congratulations to Josue Ortiz - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:18:18 GMT

Josue Ortiz

Paramedic & Manager of Operations
Trident EMS

Josue Ortiz is a highly experienced and proficient Paramedic with more than 20 years of service in emergency medical care. The majority of his career has been dedicated to critical care and flight medic operations, where he has consistently demonstrated advanced clinical expertise and sound judgment in high-acuity environments. An American Heart Association Instructor, Josue has practiced in both Puerto Rico and the United States, bringing a diverse and adaptable clinical perspective to every role he has served.

Josue’s clinical experience includes advanced interfacility and critical care transport, with specialized expertise in the management and transport of patients supported by intra-aortic balloon pumps and ventricular assist devices, including Impella. His ability to manage complex medical therapies during transport reflects a deep understanding of critical care medicine and a commitment to patient safety and outcomes.

Throughout his career, Josue has remained devoted to helping others through the delivery of high-quality patient care, mentorship of fellow clinicians, and collaboration with healthcare organizations to enhance clinical performance and operational growth. He is passionate about combining experience, education, and leadership to strengthen EMS teams and support organizations in achieving long-term success.

Josue Ortiz’s dedication, expertise, and commitment to excellence exemplify the highest standards of the EMS profession. He is a respected clinician and leader whose impact continues to elevate the quality of care provided to the communities he serves.

Congratulations to Andrew Lytle - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:17:35 GMT

Andrew Lytle

EMT & Shift Lead Field Training Officer
E-Care Ambulance

Andrew Lytle exemplifies the true spirit of public service through his unwavering dedication, professionalism, and compassion for every patient he serves. Known for his strong work ethic and steady presence, Andrew consistently makes himself available to help others—even during personal time—because he believes service to the community does not end when a shift concludes.

In addition to his role in EMS, Andrew serves as a firefighter with the Crystal River Fire Department, skillfully balancing both responsibilities with discipline and pride. Whether on the fireground or the ambulance, he brings calm leadership, humility, and readiness to act in moments when others need him most.

Andrew is a passionate advocate for patient care and patient rights, placing high value on dignity, respect, and trust. He is widely known for ensuring patients feel heard and supported, particularly during stressful or vulnerable situations. Of special note, Andrew consistently advocates for patients who may initially refuse transport due to fear or concern about receiving appropriate care. He takes the time to educate, reassure, and present options—including alternative destination facilities when appropriate—always prioritizing what is truly best for the patient.

Andrew also serves as a cornerstone of E-Care Ambulance’s Critical Care Transport Unit, where he works full time caring for some of the most critically ill and unstable patients in the system. In this high-acuity environment, he supports his partner with confidence and consistency, ensuring complex tasks are completed safely and care is delivered with precision and compassion. A continuous learner, Andrew is always seeking to expand his knowledge and skills to better support his team and improve patient outcomes.

Andrew Lytle’s dedication, advocacy, and commitment to excellence make him a standout provider and an exceptional representative of the EMS profession. E-Care Ambulance is proud to recognize Andrew Lytle as a Star of Life.

Congratulations to Robert Lanoue - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:15:23 GMT

Robert Lanoue

Paramedic / Communications Training Officer

Sunstar Paramedics

Robert “Bob” Lanoue, a lifelong resident of Pinellas County, has devoted more than four decades to public safety and emergency medical services. He began his career in 1984 as a volunteer firefighter with the City of Oldsmar and joined Pinellas Ambulance in 1985, launching a distinguished career dedicated to serving his community.

After more than 25 years on the streets of Pinellas County as a Paramedic, Bob transitioned into the Communications Center at Sunstar Paramedics, where his influence has continued to expand. Having served both in the field and in communications, Bob brings a rare and comprehensive understanding of the EMS system. His adaptability, professionalism, and depth of experience have earned him widespread respect across disciplines.

Bob firmly believes that EMS is a family built on trust, compassion, and mutual support. He treats everyone he encounters with genuine care, generosity, and respect, leaving a lasting impression on colleagues and new team members alike.

In his roles as System Status Controller, Communications Training Officer, and Emergency Medical Dispatch–Quality specialist, Bob has made a profound and lasting impact on the Communications Center. He has helped establish many of the foundational practices still in place today, shaping how dispatchers are trained, supported, and developed. Bob serves as a mentor and coach to new employees, provides quality assurance and improvement, contributes to policy development, and creates meaningful, scenario-based continuing education that connects dispatch theory to real-world outcomes. His passion for innovation and continuous improvement ensures the Communications Center remains a vital and evolving link between the community and emergency responders.

Bob understands that the Communications Center is often the public’s first point of contact during moments of fear and uncertainty. Through his leadership, he has reinforced the critical role dispatchers play in providing reassurance, gathering life-saving information, and setting responders up for success—directly impacting patient care, responder safety, and public trust.

A positive, growth-focused leader, Bob emphasizes long-term success over short-term correction and excels at fostering a cohesive, supportive learning environment. Those he has coached consistently praise his patience, enthusiasm, and wealth of knowledge.

Outside of work, Bob is proudly known as “Papa” to his five grandchildren and values time spent with family. Whether riding his motorcycle or sharing a new dish he has prepared, Bob approaches life with the same steadiness, thoughtfulness, and warmth that define his leadership and mentorship.

Sunstar Paramedics is proud to recognize Robert Lanoue as a Star of Life.

Congratulations to Derek Knost - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:13:00 GMT

Derek Knost

Paramedic, Field Training Officer, Operations Management
Trident EMS

Derek Knost brings more than 18 years of experience in healthcare to his work in emergency medical services, including over eight years as a Paramedic, Field Training Officer, and leader in operations management. Throughout his career, Derek has demonstrated a strong commitment to patient-centered care, clinical excellence, and the professional development of those around him.

Derek offers specialized expertise in pediatric care, having worked closely with hospital partners to transport critically ill children requiring life-saving medical procedures. His calm approach, clinical precision, and attention to detail have helped ensure safe, high-quality care for some of the most vulnerable patients served by the EMS system.

Beyond the field, Derek has made a lasting impact through his contributions to operational development. Within Trident EMS, he has helped design systems and processes that support EMTs and Paramedics in delivering exceptional care while upholding the highest clinical and professional standards. His leadership emphasizes efficiency, accountability, and empowerment, enabling providers to better serve their communities.

Derek plays a vital role in the continued growth of Trident EMS through focused efforts in training, recruitment, and operational improvement. A lifelong resident of the State of Florida, he remains deeply invested in strengthening the EMS system and serving the communities he proudly calls home.

Trident EMS is proud to recognize Derek Knost as a Star of Life.

Congratulations to John Ippolito - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:11:12 GMT

John Ippolito

Paramedic
American Medical Response – Broward County

John Ippolito has served American Medical Response for five years, dedicating his career to providing high-quality emergency medical care to the citizens of Broward County. As a seasoned Paramedic, John is known for his strong clinical skills, sound judgment, and unwavering commitment to patient safety. He consistently demonstrates professionalism and composure, particularly in high-pressure environments.

John’s exceptional service was recently demonstrated while working an extra shift as part of a second response unit at Gulfstream Park during a “jockey down” incident. Responding to a jockey who sustained a serious leg injury, John acted with urgency and precision. He quickly assessed the patient, removed him from immediate danger, and initiated appropriate treatment. Working seamlessly with his partner, John ensured the patient was properly packaged and transported to the hospital for definitive care, minimizing delays and prioritizing patient outcomes.

Beyond this incident, John has repeatedly stepped forward to serve during times of crisis. He has participated in multiple hurricane deployments, providing evacuation and medical support during Hurricane Helene and Hurricane Milton. His willingness to operate in challenging, high-stress disaster environments reflects both his resilience and his deep commitment to the communities he serves.

John Ippolito’s actions exemplify the highest standards of emergency medical services. His calm demeanor, teamwork, and dedication to patient care make him a trusted Paramedic and a valued member of the AMR team. American Medical Response is proud to recognize John Ippolito as a Star of Life.

Congratulations to Carrie Hill - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:09:54 GMT

Carrie Hill
Lead Paramedic
HCA Medical Transport

HCA Florida Capital Medical Transport is proud to recognize Lead Paramedic Carrie Hill as a Star of Life for her dedication, resilience, and leadership within the EMS profession. Carrie exemplifies what it means to be both a skilled Paramedic and a committed leader, consistently serving patients, colleagues, and her community with professionalism and compassion.

Carrie began her EMS career after earning her Emergency Medical Technician certification from First Coast Technical College in 2008. She went on to complete Paramedic training at the Florida Medical Training Institute in 2010. Prior to joining HCA Florida in Tallahassee, Carrie served with Baptist Health System in Jacksonville, where her desire to help people during the most difficult moments of their lives fueled her passion for emergency medical services.

Carrie joined HCA Florida Capital in 2015, working in the emergency department until 2021. That year, when the Medical Transport Team was established, Carrie was among the first to step forward, helping build the program from the ground up. Her impact was immediate. Later that same year, Carrie was involved in a tragic accident that nearly claimed her life and threatened the career she loved. Through determination, perseverance, and a deep commitment to her profession, Carrie worked through a long and demanding rehabilitation and returned to duty with renewed passion and purpose.

In 2022, Carrie was promoted to Lead Paramedic, assuming leadership of the very team she helped establish. Even when faced with a serious medical diagnosis in 2025—one that might have caused many to step away—Carrie continued to lead with strength and resolve. Under her leadership, the Medical Transport Team has doubled in size and increased its call volume threefold, reflecting both her vision and her ability to inspire those around her.

Carrie Hill’s resilience, leadership, and unwavering dedication to patient care embody the very spirit of the Star of Life. HCA Florida Capital Medical Transport is honored to recognize Carrie Hill for her lasting impact on the EMS profession and the community she serves.

Congratulations to Nicholas Florio - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:09:14 GMT

Nicholas Florio
Emergency Medical Technician, Field Training Officer
Ambitrans

Nicholas “Nick” Florio is one of Ambitrans’ most valued Emergency Medical Technicians and Field Training Officers. He consistently goes above and beyond in his role, dedicating himself to mentoring new employees and ensuring they enter the field with the knowledge, confidence, and professionalism needed to succeed. Nick is widely regarded as a “go-to” Field Training Officer because of his patience, steady leadership, and ability to lead by example.

Nick has played a critical role in supporting Ambitrans’ major operations, including COVID-19 deployments and hurricane response efforts. In these high-pressure environments, he has demonstrated adaptability, resilience, and an unwavering commitment to patient care and crew safety. His calm presence and reliability have made him a trusted resource during times of operational strain.

In addition to disaster response, Nick has been instrumental in the safe and compassionate transport of Ambitrans’ most vulnerable patients through NICU operations. Working closely with hospital partners, he ensures that every pediatric transport is handled with meticulous attention, clinical excellence, and empathy for patients and families alike.

Nick Florio’s dedication to education, disaster response, and pediatric care reflects the very best of emergency medical services. His professionalism and commitment make him an outstanding ambassador for Ambitrans and the EMS profession. Ambitrans is proud to recognize Nicholas Florio as a Star of Life.

Congratulations to Heather Eldridge - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:07:37 GMT

Heather Eldridge

Paramedic
E-Care Ambulance

Heather Eldridge is a Paramedic who exemplifies the heart of emergency medical services through compassion, professionalism, and an unwavering commitment to patient-centered care. She joined E-Care Ambulance near the beginning of its operations, when the organization was still establishing its culture and standards. From the outset, Heather brought experience, confidence, and dignity to every call, helping shape the foundation of the service and setting a powerful example of what exceptional care looks like.

Heather is consistently recognized by patients, families, and facility staff for her thoughtful approach, calming presence, and genuine bedside manner. She is known for her ability to communicate clearly, advocate effectively, and help patients feel safe and respected during moments of vulnerability. In emotionally charged or chaotic situations, Heather brings reassurance and stability, offering not only clinical skill but meaningful human connection.

One of Heather’s most impactful moments involved her care for a patient facing a difficult cancer journey. The patient was fearful and struggling with a profound loss of dignity, uncertain about what lay ahead. Heather took the time to slow down, listen, and remain present at the bedside. She stayed longer than required to ensure the patient felt comfortable, supported, and respected. Drawing from her own personal experiences with illness, Heather was able to build trust and offer understanding, restoring the patient’s confidence and easing a moment of deep fear.

The impact of Heather’s care was so significant that both the sending facility and the patient’s family contacted E-Care Ambulance directly to express their gratitude. While EMS often highlights high-acuity, life-threatening calls, Heather’s work is a reminder that emotional well-being, dignity, and compassion are equally vital to a patient’s experience and recovery.

Heather Eldridge consistently brings her best to every patient, regardless of circumstance, and remains a steadfast advocate for compassionate care. E-Care Ambulance is proud to recognize Heather Eldridge as a Star of Life.

Congratulations to Alyssa Drew - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:06:35 GMT

Alyssa Drew

Critical Care Paramedic
American Medical Response – Tampa

Alyssa Drew began her career in emergency medicine in a Level II emergency department, where she served as an Emergency Medical Technician and built a strong clinical foundation in a high-acuity environment. This early experience instilled in her a deep respect for teamwork, clinical precision, and the responsibility of caring for patients during their most critical moments.

Seeking to broaden her impact, Alyssa transitioned into prehospital emergency services in the St. Louis area, working as an EMT within a busy 911 system. There, she refined her ability to deliver decisive, compassionate care in unpredictable field conditions. These experiences solidified her passion for emergency medical services and inspired her to pursue her Paramedic certification and an expanded clinical role.

After relocating to Tampa, Florida, Alyssa joined American Medical Response, where she continues to serve her community as a Paramedic. She provides high-quality care across both emergency 911 response and interfacility transport, treating patients across all levels of acuity. Her work is marked by strong collaboration with multidisciplinary healthcare teams and a consistent focus on patient-centered care.

Throughout her career, Alyssa has demonstrated exceptional professionalism, clinical excellence, and an unwavering belief that every patient deserves skilled, respectful, and compassionate care. Her journey in emergency medical services has been both challenging and deeply rewarding, and she remains honored to serve her community through this vital profession.

Congratulations to Hermelinda Correa - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:05:16 GMT

Hermelinda Correa
Critical Care Paramedic
American Medical Response Miami-Dade County

Hermelinda Correa has served American Medical Response for the past five years and is widely respected for her clinical excellence, leadership, and dedication to patient care. She began her EMS career as an Emergency Medical Technician and quickly advanced through the ranks, earning her Paramedic and Critical Care Paramedic certifications and serving as a Field Training Officer. Her rapid progression reflects both her strong work ethic and her commitment to the highest standards of emergency medical services.

Hermelinda’s professionalism and selflessness were exemplified when she came upon a severe motorcycle-versus-vehicle collision while off duty and en route to work. Recognizing the seriousness of the situation, she immediately stopped to render aid, taking control of a chaotic scene and providing critical assistance to the injured motorcyclist. Upon the arrival of fire department personnel, Hermelinda continued to support patient care and scene management until an ambulance arrived to transport the patient for definitive treatment.

Hermelinda’s willingness to act without hesitation—despite being off duty—demonstrates her unwavering commitment to helping others. Her calm composure, courage, and selflessness reflect the very best qualities of the EMS profession.

American Medical Response is proud to recognize Hermelinda Correa as a Star of Life.

Congratulations to Phillip Cook - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 16:02:56 GMT

Philip Cook
Critical Care Paramedic
Esambia County EMS

Phillip Cook began his EMS career with Escambia County EMS in 2008 as an Emergency Medical Technician. He became a Paramedic in 2012 and advanced to Critical Care Paramedic in 2015. Early in his career, Phillip was awarded a letter of congressional recognition for excellence in emergency medical services.

In 2017, Phillip served as a Pediatric Critical Care Transport Paramedic with Lifeguard Ambulance Service, where he gained extensive experience caring for critically ill and injured pediatric and neonatal patients. His leadership abilities led to his promotion to Assistant Operations Manager in 2020. He later worked as a Paramedic and Pediatric Trauma Team member at Ascension Sacred Heart Hospital and Studer Family Children’s Hospital, participating on the rapid response team before returning full time to Escambia County EMS in 2024.

Phillip’s advanced training and clinical expertise were exemplified during a high-risk interfacility transport of a critically injured 15-year-old trauma patient requiring emergent surgical care. With air transport unavailable due to severe weather and no other agencies able to complete the transfer, Phillip and his partner accepted the mission without hesitation. During the extended ground transport, the patient rapidly deteriorated, requiring blood administration, a needle decompression, medication infusions, and continuous reassessment. Phillip made the critical decision to divert for stabilization before resuming transport to definitive care, where a trauma team was prepared to continue life-saving treatment. The patient ultimately survived and was discharged for continued care.

Throughout the incident, Phillip also served as a calm and steady mentor to his partner, who was new to EMS, providing leadership and reassurance during an extremely high-acuity situation. His clinical skill, decisive judgment, and commitment to both patient care and team support directly contributed to a successful outcome.

Phillip Cook exemplifies the highest standards of emergency medical services through his dedication, leadership, and unwavering commitment to those he serves. Escambia County EMS is proud to recognize Phillip Cook as a Star of Life.

Congratulations to Logan Ayala - A 2026 FAA Star of Life!

Meghan Winesett — Thu, 05 Feb 2026 15:56:50 GMT

Logan Ayala
Emergency Medical Technician
Ambitrans

Logan Ayala has been a valued member of the Ambitrans team since January 2024. He began his career with the organization as an ambulance driver and quickly distinguished himself through his dedication, professionalism, and commitment to patient care. While working full time, Logan successfully completed EMT school, demonstrating both perseverance and a strong desire to grow within the EMS profession.

Throughout his journey, Logan has consistently displayed a positive attitude, a strong work ethic, and genuine compassion for the patients he serves. He is widely respected and well-liked by coworkers and supervisors alike, many of whom actively seek to work alongside him because of his reliability, teamwork, and calm presence. Ambitrans has received multiple compliments from facility staff and patients praising Logan’s friendly demeanor and the compassionate care he provides.

Logan has a natural ability to put patients and families at ease, even during stressful and emotionally challenging situations. His professionalism and empathy reflect the very best qualities of emergency medical services and leave a lasting impression on those he serves.

Through his commitment to growth, patient-centered care, and pride in serving his community, Logan Ayala exemplifies the promise and future of EMS. Ambitrans is proud to recognize Logan Ayala as a Star of Life.

Senate Cloture on Shutdown Package

Meghan Winesett — Tue, 11 Nov 2025 19:41:32 GMT

The Senate has made progress towards ending the government shutdown. The Senate, by a vote of 60 to 40, invoked cloture on consideration of the House-passed Continuing Resolution after an agreement was reached yesterday with eight Senate Democrats on replacement language, which the Senate will vote on next.

On our specific issues, the language would do the following:
1. Extend the temporary Medicare ambulance add-ons payments through January 30, 2026
2. Prevent PAYGO cuts to Medicare providers and suppliers from H.R. 1
3. Extend Medicare sequestration provider cuts for another month

We will keep you posted on new developments.

CMS Announces New Proposed ABN Form

Meghan Winesett — Mon, 18 Aug 2025 17:57:13 GMT

On August 5, 2025, the Centers for Medicare and Medicaid Services (CMS) added a link on its website to its revised Advance Beneficiary Notice (ABN) Form and the associated instructions. There are no substantive changes being proposed to the ABN Form. Rather, the changes were limited to what CMS called “plain language and information design” changes. These changes were recommended by the CMS Office of Communications, and reflect current best practices to ensure that forms and instructions are clear and easily understood by both health care providers and Medicare beneficiaries.

The ABN Form is used to inform Medicare beneficiaries of their potential financial liability under specific conditions. The ABN Form is required whenever a health care provider or supplier has reason to believe that a particular item or service will not be covered under Medicare Program rules for that beneficiary on that particular date. The ABN is intended to permit the beneficiary to make an informed decision on whether to receive the item or services under the circumstances.

The ABN is not required for denials of coverage that are based on a lack of medical necessity or other statutory coverage exclusion. The ABN is only required when a denial is based on the item or service not being “reasonable and necessary to the treatment of the patient.” As a result, the ABN form is rarely required for ground ambulance services.

The revised form is currently pending approval from the Office of Management and Budget. Once approved, CMS will formally announce both the effective date (expected to be February 1, 2026) and future expiration date for the revised ABN Form. Until further notice, AAA members should continue to use the current ABN Form.

Congratulations to Jose Vasquez—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 22:13:25 GMT

2025 Florida Ambulance Association Star of Life
Jose Vasquez, Paramedic Supervisor
ATI Ambulance

Jose Vasquez embarked on his EMS career in 2002, beginning with Toa Baja EMS in Puerto Rico, where he served for eight years. During his time there, he gained invaluable experience in both 911 emergency services and interfacility transportation, ultimately rising to the rank of acting supervisor.

In 2010, Jose transitioned to Bayamon EMS, continuing his dedication to providing critical 911 and interfacility services to his community. In 2013, Jose and his family relocated to Florida, and in 2017, he began working for Positive Medical Transport on a critical care transport unit, further expanding his expertise. In 2022, Jose joined ATI Ambulance, where he quickly distinguished himself by providing both ALS and critical care transports. His exceptional skills and dedication earned him a promotion to field training officer (FTO), and soon after, he was promoted to assistant operations supervisor.

Today, Mr. Vasquez continues to deliver outstanding care to patients and provides invaluable leadership and mentorship to the ATI team, embodying the qualities of commitment, expertise, and service that define a true EMS professional.

Congratulations to Titi Toporas—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 22:09:09 GMT

2025 Florida Ambulance Association Star of Life
Titi Toporas, Critical Care Paramedic
American Medical Response – Broward

Titi Toporas is a highly skilled and dedicated critical care transport (CCT) Paramedic with American Medical Response (AMR), where he has been delivering exceptional care since January 2007. His extensive certifications, including BLS, ACLS, CPR, AED, PALS, and CCT, underscore his comprehensive training and ability to manage a wide range of medical emergencies.

Throughout his career, Titi has consistently demonstrated a strong commitment to patient care. His previous role as a field training officer allowed him to mentor new paramedics, sharing his wealth of knowledge and experience to help them develop into confident and capable medics.

Titi's contributions to the emergency medical field have been recognized with numerous awards, reflecting his dedication and outstanding performance. These honors include:

Employee of the Month Award (2007)
Commitment to Excellence Award (2007)
Broward Health Salutes Our Heroes Award (2008)
Recognition for Outstanding Achievement and Excellence Award (2009)
Star Performer Award (2012)
Employee of the Month Award (2018)

Titi is nominated for his exceptional leadership skills during critical care calls. One notable instance involved a traumatic brain injury (TBI) patient who required multiple infused medications while being transferred to a different facility. The patient, weighing over 450 lbs., presented a significant challenge. With additional resources, Titi demonstrated remarkable leadership by ensuring the safety and well-being of both his team and the patient. Each of these awards and recognitions is a testament to Titi’s hard work and skill in providing his patients with the highest level of care.

Congratulations to Lynn Sorensen—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 22:02:49 GMT

2025 Florida Ambulance Association Star of Life
Lynn Sorensen, Critical Care EMT
MedFleet

Lynn Sorensen grew up in the small town of Richlands, North Carolina, just 20 miles from Camp Lejeune Marine Corps Base. His journey began at the age of 14, when a local marine from the Haws Run Fire Department invited him on a fire call. This pivotal experience ignited a lifelong passion for firefighting and emergency services, steering him towards a path of purpose.

Not long after, Lynn became a North Carolina EMT. Driven by an unyielding dedication to service, he joined the Army Infantry and bravely cross-trained as a combat medic. Between deployments, Lynn’s commitment to his community continued as he founded the Onslow County Search and Rescue team. But he didn't stop there—he also conquered the Army's Special Forces selection, emerging as a weapons sergeant with advanced trauma training.

After his time in the Army, Lynn relocated to Florida to embark on an exciting new chapter with his supportive wife and family, where he now serves with Medfleet Ambulance Services. Lynn's ambitious spirit is unwavering as he sets his sights on achieving his paramedic certification and aspires to take on a leadership role in his community.

Lynn Sorensen's journey is a testament to his relentless dedication to public service, continuous professional growth, and a commitment to making a positive impact on his community. His story is one of bravery, passion, and an unbreakable spirit.

Congratulations to Stephanie Scilabro—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 21:56:26 GMT

2025 Florida Ambulance Association Star of Life
Stephanie Scilabro, EMT Field Training Officer
American Medical Response – Orlando

Stephanie began her EMS career in 2018 as an EMT, quickly establishing herself as a skilled and compassionate healthcare provider. Stephanie has continued to exemplify herself as not only an EMT, but also as a field training officer. Stephanie has combined her love of EMS with her thirst for knowledge, routinely engaging in instructor programs so that she can not only better herself but better teach those who are new to the industry.

When Stephanie is not working on the ambulance, she can often be found instructing new hire orientation classes or working with local clinical education to enhance quality improvement programs and to streamline the orientation process. Stephanie truly embraces her love for the profession by being a positive role model for her co-workers. She is often the recipient of patient compliments who wish to express their gratitude because Stephanie turned the worst day of their life into a positive experience.

Congratulations to Jose Santiago—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 21:51:37 GMT

2025 Florida Ambulance Association Star of Life
Jose Santiago, Paramedic Supervisor
ATI Ambulance

Jose Santiago began his career in emergency medical services (EMS) in 2006 when he was hired as a paramedic by Rio Grande County EMS in Puerto Rico. Over the course of 11 years with the agency, he gained extensive experience in pre-hospital emergency care and advanced his skill set to become a critical care paramedic. His dedication and strong leadership qualities led to his promotion to field supervisor, where he was responsible for overseeing field operations, mentoring new paramedics, and ensuring high standards of patient care.

In 2018, Mr. Santiago relocated to Florida to further his career and joined ATI Ambulance in Lakeland, FL. His expertise and commitment to excellence quickly earned him a reputation as a dependable and skilled EMS professional. Within a short time, he was selected as a field training officer (FTO), where he played a crucial role in training and mentoring new employees, ensuring they upheld the company’s standards of care and operational efficiency.

Recognizing his leadership capabilities and dedication to the organization, ATI Ambulance promoted Mr. Santiago to operations supervisor in 2024. In this role, he took on greater responsibilities, overseeing daily operations, coordinating with field staff, and ensuring compliance with company protocols and regulatory standards. In addition to his supervisory duties, he currently serves as the company’s safety officer and quality assurance (QA) officer, where he works to improve patient care protocols, enhance workplace safety, and ensure compliance with industry best practices.

Jose Santiago has become a vital part of the ATI management team, contributing significantly to the company’s mission of providing high-quality emergency medical services. His years of experience, leadership skills, and unwavering commitment to patient care have made him an indispensable asset to the EMS community.

Congratulations to Alec Mealing—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 21:49:18 GMT

2025 Florida Ambulance Association Star of Life
Alec Mealing, Critical Care Paramedic
MCT Express

Alec Mealing began his EMS career in 2012 and started working for American Ambulance in South Florida in 2017 as an emergency medical technician (EMT). He rose to becoming a paramedic shortly after and then a certified ventilator paramedic. He was promoted to field training officer (FTO) and then became a critical care paramedic in 2019. He continued his accolades as he was promoted to supervisor and then Operations Manager shortly before the organization was acquired by MCT Express, Inc. (MCT). After the transition, he was made a paramedic lead for Joe DiMaggio Children’s Hospital transport unit for MCT for almost two years. Mr. Mealing has worked hand in hand with nurses, respiratory therapists, and doctors at Joe DiMaggio Children’s Hospital. Alec has taken care of many very sick children and learned to be patient and understanding with them and their families which again has made him a better husband and father. During that time, he continued to work with many critical patients, many with positive outcomes and some with tragic outcomes. Understanding that in this field you can experience many situations, these experiences have all made Mr. Mealing a better paramedic and a better person. Mr. Mealing is a family man and met his wife when he was in EMT school back in 2011. He has been married to her for 10 years and they have a son who just turned 10. What sets Alec apart is a particular transport that stands out among the many patients he has transported over the years. This call was an interfacility transport from Holy Cross Hospital to Boca Raton Regional Hospital with a critically ill patient that required advanced hemodynamic management. The patient, a 43-year-old male, had been diagnosed with a dissecting aortic aneurysm extending the entire length of the aorta. Given the severity of the condition, strict blood pressure control was paramount to prevent further dissection or rupture. Upon arrival, the patient was found to have bilateral radial arterial lines in place for continuous invasive blood pressure monitoring. The patient was receiving a Cardene (nicardipine) infusion, titrated to maintain systolic blood pressure below 100 mmHg, per physician orders. Throughout transport, Mr. Mealing continuously monitored the patient’s hemodynamic status, making precise adjustments to the Cardene drip as needed to ensure optimal blood pressure control. The 15-mile transport was completed without incident. The patient remained hemodynamically stable, with blood pressure maintained within the target range. Upon arrival, the patient was successfully transferred to the receiving medical team for definitive care. This transport required continuous critical care interventions and precise pharmacologic management to ensure patient stability. Through meticulous monitoring and precise titration of vasoactive medications, Mr. Mealing demonstrated unwavering dedication to both his patient and the field of emergency medicine.

Congratulations to Braxton Jones—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 21:43:17 GMT

2025 Florida Ambulance Association Star of Life
Braxton Jones, EMT
Sunstar Paramedics

We are honored to put forth a nomination for Braxton Jones, an exceptional human, and a true asset to our team at Sunstar Paramedics. Braxton Jones has served Pinellas County, Florida and Sunstar Paramedics for a year and a half. Though his time may seem brief, his service is a prime example of how proper training and an assertive approach can lay the groundwork for a successful, long-term career. Braxton has a great attitude, willingness, and drive to help others. He is an excellent example of personal improvement with Sunstar Paramedics. Braxton started his career as an EMR and soon achieved his goal to become an EMT in direct care of patients in Pinellas County. Braxton is continuing his knowledge by attending the School of EMS as a paramedic student with good questions and engagement within the classroom.

Braxton faced the heartbreaking reality of a call involving a 12-year-old who suffered a fatal gunshot wound and significant head injury. The call was especially challenging for all the first responders due to the holiday timing. However, EMT Jones arrived quickly and worked seamlessly with the team to ensure a swift response, facilitating an on-scene time of under five minutes. Through his steady focus, Braxton helped transport the patient and multiple crew members in an effort to save a life. While the outcome was tragic, Braxton's resilience and unwavering dedication serve as an inspiration to all first responders, showing the true strength and heart needed in such difficult moment.

Outside of EMS, Braxton is very involved in his family life and is loved deeply by them. He continues to build his relationship with his 9-year-old son with outdoor excursions and quality time. Braxton is a former football player, having played both in high school and in post-high school recreational leagues. He continues to stay connected to his community by sharing his passion for the sport, coaching a minor league football team. Braxton Jones is a great example of the future of emergency medical services rooted in the proper education and the match-up of a positive and determined person. Sunstar appreciates his contributions and optimistic demeanor. Thank you, Braxton, for being an asset and treasure to Pinellas County.

Congratulations to Stanley Jeune—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 21:25:02 GMT

2025 Florida Ambulance Association Star of Life
Stanley Jeune, Critical Care EMT/Operations Supervisor
MCT Express

Stanley Jeune has been an EMT since 2014 and started his position with American Ambulance in Orlando shortly after. He has trained and worked as a critical care EMT since 2016 working efficiently and consistently with our most senior critical care paramedics on a variety of intense transports. His calm and easy demeanor provided the assurance needed for patient and partner alike to successfully maintain patient care on hundreds of transports each year.

As the middle child of a large family in Pine Hills, Mr. Jeune learned early on to care for his siblings. Inspired by his father's example and motivated by the memory of his mother, he sought to build a career centered on service and giving back to his community. His volunteer work began with his local church and continues to this day during his time off. As a 20-year-old, he volunteered locally to help translate for refugees, rescue workers, and survivors from the 2010 Haiti earthquake. He also dedicates his spare time to helping with the Orlando Second Harvest Food Bank food trucks. Stanley was promoted to a field training officer position in 2021 and then to a supervisor position in November 2023. Mr. Jeune stepped into a position of a deployment lead in 2017 when Hurricane Irma affected South Florida where he worked with our crews stationed in a field hospital for six days assisting with constant search and rescue missions. In 2024, Stanley and his team faced the challenges of two hurricanes, Helene and Milton, with only four hours of downtime each day as they worked tirelessly through back-to-back shifts. Over the course of more than 32 days, they were deployed between Ft. Myers and Polk County, navigating tornadoes and operating on Army bases. Stanley's dedication extends beyond his local efforts, as he has also completed multiple long-distance patient transports. His longest journey involved a relentless 5-day drive to Utah, navigating mountain passes and even backtracking due to a closed logging road.

We are very fortunate that Stanley Jeune has chosen us to build his EMS career with. We are thankful for his dedication and commitment and look forward to the future together.

Congratulations to Erin Hisey—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 21:19:58 GMT

2025 Florida Ambulance Association Star of Life
Erin Hisey, Paramedic, Field Training Officer
American Medical Response – Broward

Erin Hisey is a dedicated field training officer (FTO) paramedic based in South Florida. With five years of experience in emergency medical services (EMS), including two years as a paramedic, Erin brings a wealth of knowledge and expertise to her role. She holds a bachelor’s degree in business from Rhodes College in Memphis, TN, and an associate’s degree in EMS from City College in Ft. Lauderdale, FL.

Erin was nominated for the prestigious Star of Life award due to her exceptional patient care skills, her unwavering commitment to completing tasks in alignment with company procedures, and her ability to inspire others to achieve and set attainable goals in their EMS careers. Additionally, Erin was recognized as employee of the month in January 2024 for her outstanding performance and dedication.

Outside of her professional commitments, Erin enjoys spending time outdoors with her dogs and fiancé. She is currently working towards becoming a flight paramedic, demonstrating her commitment to advancing her skills and career in EMS.

Congratulations to Greg Garcia—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 20:56:10 GMT

2025 Florida Ambulance Association Star of Life
Greg Garcia, EMT
American Medical Response – Miami Dade

Greg Garcia began his distinguished career in emergency medical services in September 1987 with Randle Eastern Ambulance, which later became part of AMR. Starting as a wheelchair driver, Greg quickly advanced his skills by completing a first responder course in 1988 and earning his EMT certification in July 1989.

Greg has held several key positions throughout his career, including field training officer (FTO), field supervisor, and quality assurance specialist. His commitment to professional development is evident through his 16-hour Accident Investigation and Reconstruction course certification, which has enabled him to investigate multiple accidents.

Greg's dedication to service is highlighted by his participation in six deployments, both within and outside the state. He has made a profound impact on patient care, including delivering six babies and achieving one code save. One remarkable example of his dedication occurred when he responded to an unresponsive patient without a pulse, initiating and sustaining CPR until an ALS unit arrived—demonstrating his unwavering commitment to saving lives.

Greg Garcia's extensive experience and dedication make him a highly respected and invaluable emergency medical service professional to his community.

Congratulations to Cameron Eames—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 20:43:22 GMT

2025 Florida Ambulance Association Star of Life
Cameron Eames, Critical Care Paramedic
MedFleet

Cameron Eames is an experienced paramedic and firefighter with a strong background in emergency medical services and critical care transport. His career began in 2011 when he enrolled in EMT school just three days after graduating high school. Shortly after, he joined EasCare Ambulance, working at the BLS level and handling interfacility transports. In July 2012, Cameron became the youngest person to complete paramedic school, advancing his role at EasCare until June 2015.

In 2015, Cameron joined the Attleboro Fire Department as a firefighter/paramedic, serving in one of Massachusetts’ busiest EMS-based fire departments. In 2023, he and his family relocated to Florida, where he now works as a critical care paramedic for MedFleet. Throughout his career, Cameron has responded to multiple mass casualty incidents (MCIs) and hazardous materials emergencies. His dedication and quick response have earned him several honors, including being recognized as a “Hero of the Game” at a New England Revolution soccer match for assisting in the prehospital delivery of a baby. In August 2019, he received recognition from Congressman Joseph P. Kennedy III for his heroic efforts in rescuing and successfully transporting an unresponsive patient from a burning vehicle, who later made a full recovery. Cameron remains committed to excellence in emergency medicine, continuing to provide high-quality care in critical situations.

Congratulations to Debra Dunbar—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 20:39:39 GMT

2025 Florida Ambulance Association Star of Life
Debra Dunbar, Assistant BLS Field Operations Supervisor
Sunstar Paramedics

Deb Dunbar has served Pinellas County, Florida and Sunstar Paramedics for the past 23 years in multiple capacities starting with field paramedic to her current position of BLS Supervisor. Her career and continued support of the community has sparked the birth and continued growth of the BLS contingent in medical transport.

Deb Dunbar was not just an integral part of the BLS component but “The” integral part of the BLS component in emergency and non-emergency transport. Pinellas County integrated BLS transportation in January 2022 into a previous all ALS system, which had been in place since 1988. Mrs. Dunbar was involved in the ambulance setup, protocol creation, EMT training, and the addition of the new EMR clinician role. Supervisor Dunbar has been a critical part of the birth and continued improvement of our BLS system. The BLS division was started several years ago when the company was 100% ALS (paramedic) response for all calls including interfacility (IFT). Starting with just 4 shifts a day, she was able to create real-time reports for the crews and compile daily feedback on her own. This process had not yet been completed for the new program during its early stages and was very time-consuming. The program expanded rapidly and now has a fleet of over 20 BLS IFT ambulances which she oversees daily. In addition to this, the program was so successful it allowed the addition of BLS 911 and the new position of Emergency Medical Responder (EMR) to meet the needs of the community during COVID. These additional units and positions were so successful during the trial program the county adopted them permanently. Every day she has continued to mentor personnel, answer continuous phone calls, support the employees’ needs while increases in requests for service that now attribute to 22% of the call volume of our busy system. Many times, Mrs. Dunbar has taken the time to physically walk alongside an inexperienced EMR with an expectations conversation that blossoms into an employee that walks down the graduation aisle of paramedic school. No matter the time of day, even on vacation, if she has cell phone service, she will answer a call or text from her crew to ensure their success.

Congratulations to Kelsey Cotton—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 20:20:05 GMT

2025 Florida Ambulance Association Star of Life
Kelsey Cotton, Transport Coordinator
American Ambulance Response – Orlando

Kelsey Cotton started her career in EMS in 2012 at Albuquerque Ambulance Service in New Mexico as an EMD certified-dispatcher. During her 9 years at this location, she worked her way up to shift captain before relocating joining AMR as a dispatcher for the Orlando operation in 2021. Her considerable experience and knowledge were a significant asset to the communications center. In November of 2023, Kelsey transferred to the transport coordinator position in support of the Orlando Health contract. Starting as the in-house transport coordinator, Kelsey was instrumental in creating the processes and procedures for this position as she was the first to fill this newly created role. She was a key collaborator in identifying what this role needed and how it could best support the customer and the operation. She then moved to the in-hospital role where she immediately began creating meaningful relationships with the hospital staff and our crews. She tirelessly moves around the hospital she is assigned to, updating nurses with ETAs, confirming all paperwork is completed and that the patient is ready to go. When crews arrive, she is there to greet them and then escort them to their patient’s room, providing updates about the patient or the trip along the way. Upon arrival, she coordinates the handoff between the nurse and the crew. Her customer service and people skills have strengthened our relationships with both our customers and employees. Her contributions to the team are immeasurable, and we are grateful she has chosen AMR Orlando as her workplace.

Congratulations to Carlos Costa—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 20:06:44 GMT

2025 Florida Ambulance Association Star of Life
Carlos Costa, Critical Care Paramedic
Century Ambulance Service

Carlos Costa’s career in Emergency Medical Services spans nearly five decades, beginning in 1977 as an Emergency Medical Technician. His dedication to the field led him to become a paramedic in 1990 after attending the Daniel Freeman Paramedic Program at UCLA. Over the years, Carlos has continuously expanded his expertise, serving as an ACLS, PALS, and BLS instructor, as well as a preceptor to new paramedics. He has made a significant impact as a flight medic and search-and-rescue specialist for the sheriff’s department, and for 15 years, he was a paramedic rescue diver. Carlos also served as a SWAT paramedic, gaining invaluable experience in high-stakes, high-pressure environments.

Carlos has been deeply involved in the 911 emergency system throughout his career, primarily working in Southern California with AMR. In 2010, he was deployed as a rescue paramedic to Haiti following the devastating earthquake, providing critical care in the midst of chaos. After relocating to Florida in 2012, Carlos continued his work in inter-facility transport, primarily in the Fort Myers area, before joining Century Ambulance Service in January 2024 as a Critical Care Paramedic.

On June 25^th, 2024, Carlos was paged out to a 935 lb. patient that was experiencing extreme shortness of breath, possible pulmonary edema. Upon arrival, the patient was on a ventilator with multiple drips running. Carlos was able to assess the scene, contact dispatch and the supervisor, and request the manpower needed to complete the call safely. This patient needed a CT scan and unfortunately, the hospital has a weight restriction of 600 lbs. for CT scanners. Due to the size of the patient and the severity of the situation, the hospital was able to find a CT scanner at an Equine facility in Ocala. Arrangements began to be made to get transfer/lift help lined up for this patient. Upon arrival our crew and Marion County fire worked together to safely unload the patient from our unit to the CT scanner. Carlos and the team worked with a Veterinarian Technician to ensure the patient was properly placed with no inference to vital signs. The patient was then transported safely back to the hospital. Amazing teamwork, collaboration and compassion by all involved.

Since joining Century, Carlos has proven to be an invaluable asset to the company, consistently going above and beyond to deliver exceptional patient care. His dedication was recognized with the BMCS LOTUS Award for his outstanding care of a patient. With a career built on skill, compassion, and a commitment to excellence, Carlos Costa continues to make a lasting impact on the EMS community.

Congratulations to Heather Burke—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 19:58:11 GMT

2025 Florida Ambulance Association Star of Life
Heather Burke, Critical Care Paramedic
Trident EMS

Heather Burke began her career in EMS at Volusia County EMS in 1998. During her time at Volusia she was honored with several awards including Signature Retrieval and Paramedic of the Year. She was also bestowed an award by the Weather Channel and Brighthouse Network following the 2004 hurricanes. She volunteered for multiple hurricane deployments both in Florida and other states, including the response to Hurricane Katrina. She also played a key role in coordinating the EMS response to mass casualty incidents and, for five years, was actively involved in the school safety program. As part of this program, she visited kindergarten classes to teach safety lessons on topics such as stranger danger, fire safety, drugs, walking safety, and gun safety.

Heather later joined Lake / Sumter County EMS in 2007 where she became an AHA instructor, where she was awarded the True North Award for always going above and beyond. She was also awarded the first ever Lake County EMS Medal of Honor for rescuing a woman from a local lake. In addition, she was a member of the Muddy Angels, which is a group that cycles from Maine to D.C. to raise money for the National EMS Memorial.

Since joining Trident EMS, Heather has transported several high acuity CCT calls inducing a balloon pump transfer. While working at the Bay County location she saved numerous lives during high rip currents caused by a tropical storm offshore. During COVID she dedicated herself to transporting hundreds of critically ill patients to experimental treatments. Heather has been an outstanding addition to every service she has worked for and is extremely deserving of the 2025 Florida Star of Life award.

Congratulations to Kevin Barker—A 2025 FAA Star of Life!

Mon, 17 Feb 2025 19:26:26 GMT

2025 Florida Ambulance Association Star of Life
Kevin Barker, Paramedic
American Medical Response – Orlando

Kevin began his career in the EMS field in 2013 with AMR Orlando as an EMT. It was clear from the start that he had ambitions to grow, so he quickly enrolled in a paramedic program. Kevin committed to working the only shift available that would accommodate his paramedic course work, which was a 5-day a week shift that began at 4:00 a.m. on a critical care transport unit. Still new to the field, he wasn’t sure if he could handle such a high-pressure role. However, his doubts were soon dispelled as he demonstrated his clinical prowess, adaptability, and genuine desire to learn as much as possible about emergency medicine. Kevin quickly made a name for himself within the organization and soon had paramedics arguing over who was going to get to work with Kevin that day. In 2015, Kevin achieved his goal of becoming a paramedic, and soon after became a BLS, ACLS, and PALS instructor through the AHA. Kevin also became an EMT and paramedic instructor at one of the local colleges where he routinely would go above and beyond for his students, all while being a devoted husband and father.

What continues to set Kevin apart is his unwavering dedication to service. Kevin currently works as a paramedic on the primary 911 transport unit assigned to Orlando International Airport. Kevin is routinely commended for his patient care, bedside manner, and the sense of calm that he brings to each emergency scene. One example of this occurred when an elderly patient fell inside the lobby of the hotel airport. The patient immediately felt a significant amount of pain and was unable to stand. Upon assessment the patient was found to have an open ankle fracture with exposed tendons, absent distal pulses, and a large amount of blood pooling. Kevin began rapid treatment which included hemorrhage control, and splinting of the affected ankle prior to transport. Once the patient was able to be moved, Kevin quickly initiated a trauma alert and began transport to the local trauma center which was approximately 20 minutes away. During this time, Kevin was able to calm the patient and reassure him that he would be receiving the best trauma care that Central Florida could provide. This also calmed the patient’s wife who was present in the ambulance. While Kevin was assessing his patient during the transport, the patient quickly began to decompensate and become hypotensive from the significant amount of blood loss. Kevin quickly intervened and provided appropriate care to the patient and updated the trauma center of their incoming patient. Due to Kevin’s quick actions, calm demeanor, and appropriate patient care, the patient was able to be treated at the trauma center and is expected to make a full recovery.

GMR OEM Presentation

Meghan Winesett — Thu, 09 Jan 2025 19:01:39 GMT

For those who were not able to make our FAA Board and Membership meeting earlier today, please find the link to the GMR's OEM Presentation linked here.

Global Medical Response's OEM is partnering with the Florida Ambulance Association to manage the FAA's response to disasters impacting the state of Florida. This presentation provides additional details and information about the OEM's capabilities for this partnership with the FAA and the state.

View Presentation Here

FAA Membership Meeting

Meghan Winesett — Wed, 18 Dec 2024 19:20:52 GMT

Our next FAA Board and Membership meeting will take place on Thursday, January 9th at 1:00pm Eastern in conjunction with the state meetings.

For those attending the state meetings in Orlando, please join us in room S330-D. If you are planning to join the meeting virtually, the link to join will be sent via calendar invite soon!

Thank you,
FAA Board of Directors

Florida AG Announces Expansion Of Help Line For First Responders With PTSD

Meghan Winesett — Tue, 29 Oct 2024 23:18:02 GMT

Florida has expanded the first responder mental health line to all 67 counties. Read more at:

https://floridadaily.com/florida-ag-announces-expansion-of-help-line-for-first-responders-with-ptsd/

https://www.fox13news.com/news/florida-expands-first-responder-mental-health-line-all-67-counties-suicides-persist

2025 Stars of Life Registration Open!

Meghan Winesett — Mon, 28 Oct 2024 16:16:00 GMT

Registration for the 2025 Florida Ambulance Association Stars of Life Event is now open! Join us on February 18th and 19th to celebrate the EMTs, Paramedics, and other EMS professionals who have gone above and beyond in service to their communities. We are looking forward to a great event this year where we will have a fun evening banquet to honor our award recipients followed by a day of legislative meeting with their representatives at the state Capitol.

Registration is free for FAA members, register today at https://faa.wildapricot.org/event-5927706

OSHA Announces Public Hearing on the Proposed Emergency Response Rule

Meghan Winesett — Wed, 14 Aug 2024 17:45:42 GMT

On June 27, 2024, the American Ambulance Association submitted its comments regarding the Occupational Safety and Health Administration’s (OSHA) proposed Emergency Response Standard. View the AAA’s comment submission here. The public comment period on the proposed standard concluded on July 22, 2024.

OSHA announced that it will hold an informal virtual public hearing on the proposed standard in November and is now accepting written requests to testify. The hearing will begin on November 12, 2024, and continue from 9:30 am until 4:30 pm ET on subsequent weekdays for as long as needed to hear the testimonies and question witnesses.

Written requests to testify are due by September 27, 2024. Individuals or groups who request more than 10 minutes to present their oral testimony at the hearing or who will submit documentary evidence at the hearing must submit the full text of their testimony and all documentary evidence no later than October 18, 2024.

AAA President, Randy Strozyk has submitted to testify on behalf of the AAA and encourages all members of EMS agencies or other interest groups to do the same. More information on the public hearing can be found here. Additionally, you can submit your request to testify here. If you have any questions about the proposed rule, please contact the AAA at hello@ambulance.org.

FAA Members Must Pre-Register with DEMES

Meghan Winesett — Wed, 14 Aug 2024 17:44:39 GMT

FAA Members,

The state has advised us that all vendors MUST be pre-registered in the DEMES system in order to be activated for any deployments and submit quotes for state missions. It is important that everyone interested in assisting with state deployment missions register for today's training at the link below or use the linked handouts to register with DEMES.

Training registration: https://forms.office.com/g/CbGnmCVqTP

Information on how to register with DEMES:

DEMES Vendor Procurement One-Pager.pdf

How to - Register for DEMES Vendor Portal_2024.pdf

Share Your Message of Support for Families of Fallen EMS Heroes

Meghan Winesett — Thu, 13 Jun 2024 15:37:47 GMT

The all-volunteer National EMS Memorial Service honors EMS professionals who have died in the line of duty. Write your message of sympathy for the families of the 2024 honorees below, and they will be shared with them at the NEMSMS Weekend of Honor. Even just a sentence or two means the world to those left behind.

Share your message here: https://ambulance.org/2024/06/07/nemsms-messages/

Florida Ambulance Association Members to Provide State’s First COVID-19 Vaccines This Week

Meghan Winesett — Wed, 16 Dec 2020 14:40:59 GMT

FOR IMMEDIATE RELEASE
December 16, 2020
Contact: Meghan Winesett
Florida Ambulance Association
mwinesett@ambulance.org

The Florida Ambulance Association (FAA) has partnered with the Florida Department of Health to administer the first COVID-19 vaccinations in the state of Florida. As part of Phase 1(A) of the state’s vaccination plan, paramedics from FAA member companies will administer vaccines to long term care centers throughout the state beginning Wednesday.

Florida’s Emergency Medical Services (EMS) providers have played a pivotal role in the front-line response to the Public Health Emergency and our members are honored to be part of this next phase of response to further protect our communities.

“Our nation’s ambulance services are ready to respond at a moment’s notice to emergencies ranging from heart attack to hurricane to pandemic. From the beginning, Florida’s EMS providers have been deeply involved in COVID-19 testing and Coronavirus patient navigation. Given our highly trained and fully mobile healthcare workforce, it was natural next step for Paramedics to take the lead in vaccinating some of our state’s most vulnerable populations. We look forward to our expanded role treating patients in place,” said Florida Ambulance Association President Terence Ramotar.

If you have any questions related to this press release, please contact Meghan Winesett at 703-203-9885 or mwinesett@ambulance.org

###

About the Florida Ambulance Association

The Florida Ambulance Association (FAA) is the voice of ambulance providers in Tallahassee. Composed of more than 30 mobile healthcare providers across our state, we collaborate to drive policy that supports excellence in patient care and effective disaster response.

Download press release here

Calendar Year 2021 Ambulance Inflation Factor

Meghan Winesett — Mon, 19 Oct 2020 17:35:11 GMT

The document linked below provides the Calendar Year (CY) 2021 Ambulance Inflation Factor (AIF) for determining the payment limit for ambulance services. The AIF for CY 2021 is 0.2 percent.

MM12031.pdf

MedFleet Ambulance Expands Services to Include Critical Care Transport

Meghan Winesett — Fri, 21 Aug 2020 17:46:01 GMT

New Port Richey, Florida (August 20, 2020) – MedFleet Ambulance, a leading provider of Advanced Life Support (ALS), Basic Life Support (BLS) ambulance and non-medical stretcher services for patients in Pasco, Hernando, Citrus and Polk Counties, announces the commencement of its Critical Care Transport (CCT) program. This highest level of ground transport ambulance service complements the MedFleet operation by offering a specialized service to meet the needs of high acuity and complex medical and trauma patients.

MedFleet, under the new ownership of nationally recognized EMS leader, PatientCare EMS Solutions, has assembled an outstanding team of EMS professionals with expertise in the provision of Critical Care Transport. This commitment represents a significant investment during the very challenging time of uncertainty and resource utilization due to COVID-19, demonstrating its dedication to advancing patient care services. “This is a testament to PatientCare’s commitment to continuing MedFleet’s decades-long tradition of serving its communities with uncompromising quality and innovation in ambulance services,” said Andrew Williams, the former Owner, and current Director of Business Development for MedFleet Ambulance.

MedFleet’s CCT team is comprised of a critical care trained Registered Nurse, Paramedic and EMT, who maintain continuity of care throughout transport and are able to provide a level of care comparable to the inpatient setting. “We want everyone to know this is like an ICU on wheels,” states Kimberly Lacina, Director of Clinical Operations at MedFleet. “This is a big step forward in providing needed services and a new, advanced level of care in our area. It is a win-win situation for all EMS providers in the region and we are excited to begin this important initiative,” said Mark Postma, President of PatientCare EMS.

About MedFleet

Medfleet has been committed to providing BLS ambulance service since its inception in 1993, and over the years has expanded services into ALS level transports in its geographic coverage area of Pasco, Hernando, Citrus and Polk Counties in Florida. MedFleet has focused largely on interfacility transports, providing a needed service in the Western and Central regions of Florida. MedFleet is based in New Port Richey, Florida and has multiple contracts with the area’s hospitals, nursing homes and other healthcare facilities.

About PatientCare

PatientCare EMS Solutions is a leading provider of ground-based 911 emergency ambulance services and other critical healthcare logistics solutions. The company operates growing partnerships with representative customers in Florida, Texas, Indiana, South Dakota, Mississippi, and New York. PatientCare is responsible for transporting nearly 400,000 patients annually and is committed to providing compassionate quality care and service built around the needs of the patients and communities in which it serves.

Media Contact: Kim Lacina

klacina@medfleet.com, 727.849.6849

PatientCare Acquires MedFleet Ambulance

Amanda Riordan — Fri, 21 Feb 2020 15:51:28 GMT

Tyler, Texas and New Port Richey, Florida (February 12, 2020) - PatientCare Logistics Solutions (PatientCare), a leading provider of ground-based 911 emergency ambulance and other critical healthcare logistics services has acquired MedFleet Ambulance Service (MedFleet) of New Port Richey, FL. MedFleet is a leading provider of advanced life support (ALS) and basic life support (BLS) ambulance, as well as stretcher services, primarily related to interfacility medical transports for patients in Pasco, Hernando, Pinellas and Polk Counties.

MedFleet will continue to operate under its well-known brand and with the same dedicated team of over 130 employees who transport more than 30,000 patients per year. PatientCare will support MedFleet with its best-in-class technology and resources to expand services and enhance back office, human resources and other critical functions.

“We recognize the valuable role MedFleet plays in the communities it serves and we are excited to partner with a well-established, successful operator in the Western and Central regions of Florida,” said Herman Schwarz, CEO of PatientCare. “An essential component of our acquisition strategy is to partner with family owned ambulance providers like MedFleet where the family wants to stay involved in the business, is looking to expand services to their communities and can serve as a regional foundation for further growth. In addition, this acquisition complements our existing Florida operations and offers us a stronger market position in the interfacility ambulance service in the area which is also a key element of our growth plan.”

MedFleet represents an expansion of PatientCare’s footprint in the Southeastern United States. This acquisition further strengthens PatientCare’s portfolio which covers a variety of geographies in the Northeast, Central, Midwestern and Southeastern United States.

About PatientCare

PatientCare Logistics Solutions is a leading provider of ground-based 911 emergency ambulance services and other critical healthcare logistics solutions. The company operates growing partnerships with representative customers in Florida, Texas, Indiana, South Dakota, Mississippi and New York. PatientCare is responsible for transporting more than 350,000 patients annually and is committed to providing compassionate quality care and service built around the needs of the patients and communities in which it serves.

About MedFleet

Since its inception in 1973, MedFleet has been committed to providing BLS ambulance service and over the years has expanded services into ALS level transports in its geographic coverage area of Pasco, Hernando, Pinellas and Polk Counties in Florida. MedFleet has focused largely on interfacility transports, providing a needed service in the Western and Central regions of Florida. MedFleet is based in New Port Richey, Florida and has multiple contracts with the area’s hospitals, nursing homes and other healthcare facilities.

Congratulations, Randy White, 2020 Florida Star of Life!

Meghan Winesett — Thu, 09 Jan 2020 20:39:22 GMT

Randy White
National Health Transport
Miami, FL
2020 Florida Star of Life

Randy White began as a Dispatcher with National Health Transport in 2016. Randy has since achieved his long-term goal of becoming a Paramedic, then again added to his accomplishments by becoming a Senior Specialty Care Transport Paramedic. He is known by his peers to be a quiet, motivated individual who is always willing to help and to share his experiences with new Paramedics.

In December 2018, while on an overnight shift in Miami-Dade County, Randy and his partner, Sandro Gordillo, were first to respond to an impaired driver incapacitated in a ditch. Without hesitation, Randy and Sandro pulled over to assist the driver, who was trapped in the vehicle and appeared to be unconscious from a major head injury. After prying the car doors open without any extrication tools, they began to assess the patient and determined that immediate help was needed.

They acted quickly and summoned for the help of Miami-Dade Fire Rescue, which arrived on the scene, extricated the driver with the Jaws of Life, and airlifted the patient to the trauma center. Without the life-saving actions of Randy and Sandro, the driver would have remained on the road all night without help. We are proud to nominate Randy as a 2020 Florida Star of Life!

Congratulations, Sandro Gordillo, 2020 Florida Star of Life!

Meghan Winesett — Thu, 09 Jan 2020 20:30:53 GMT

Sandro Gordillo
National Health Transport
Miami, FL
2020 Florida Star of Life

Sandro Gordillo started at National Health Transport (NHT) in 2015 as a Dispatcher. During his tenure at NHT, Sandro has excelled through the ranks, earning his EMT license in 2018. He has also served as an Elite Dispatcher and Senior EMT, and is currently the lead QA Officer in the Quality Assurance Department. Sandro is very highly regarded by his peers.

In December 2018, while on an overnight shift in Miami-Dade County, Sandro and his partner, Randy White, were first to respond to an impaired driver incapacitated in a ditch. Without hesitation, Sandro and Randy pulled over to assist the driver who was trapped in the vehicle and appeared to be unconscious from a major head injury. After prying the car doors open without any extrication tools, they began to assess the patient and determined that immediate help was needed.

They acted quickly and summoned for the help of Miami-Dade Fire Rescue, which arrived on the scene, extricated the driver with the Jaws of Life and airlifted the patient to the trauma center. Without the life-saving actions of Sandro and Randy, the driver would have remained on the road all night without help. For this response, and much more, we are proud to nominate Sandro as a 2020 Florida Star of Life!

Congratulations, Gerry Lint, 2020 Florida Star of Life!

Meghan Winesett — Thu, 09 Jan 2020 20:12:27 GMT

Gerry Lint
Lifeguard Ambulance Service
Milton, FL
2020 Florida Star of Life

Gerry Lint has been employed by Lifeguard Ambulance since the first day they started operating in Santa Rosa County on August 1, 2007, and he has been a paramedic since September of 2004. Gerry has worked in various positions during this time, including Lieutenant, Captain, and his current position as a Paramedic Field Training Officer (FTO). During his tenure with Lifeguard Ambulance, Gerry has touched many lives while mentoring countless EMTs, Paramedic students, and newly hired Paramedics. His quiet confidence, humble wisdom, and experience is invaluable to the leadership, crew, and citizens of Santa Rosa County, Florida.

Gerry has been recognized by his peers as an outstanding leader and mentor. He is a true professional, providing the highest quality patient care on routine and critical calls. His prehospital care is far beyond the standard and assisting agencies on scene are proud to work with him.

Outside of work, Gerry enjoys family life with his wife of 30 years, Melissa, who is also a Paramedic at Lifeguard Ambulance. Gerry also enjoys woodworking and welding. Prior to becoming a Paramedic, Gerry enjoyed a 20-year career in the Air Force and served as the Director of the Special Olympics in Mississippi. He also served briefly as a Police Officer with Milton Police Department and was a volunteer Firefighter with Pace Fire Department.

Gerry, it is our pleasure and privilege to work alongside you and to nominate you as the 2020 Star of Life for the Florida Ambulance Association.

Congratulations, Lori Simmons, 2020 Florida Star of Life!

Meghan Winesett — Fri, 03 Jan 2020 18:23:44 GMT

Lori Simmons
Century Ambulance Service
Jacksonville, FL
2020 Florida Star of Life

Lori has been employed with Century’s Communications Center since 2016 and during that time, she has worked her way up from Call-Taker to Dispatcher, and into her current role of System Status Coordinator. She is responsible for the deployment of ambulances based on the hour-of-the-day and day-of-the-week in order to match supply based on Unit Hours of Utilization (UHU) with expected demand, in the attempt to provide faster response to our patients. Lori also assists others in the Communications Center with challenging situations. She is driven by exceptional customer service skills toward both internal and external customers and always maintains a calm and professional demeanor. She works with the scheduling department and shift manager to add and remove units to the schedule when needed and makes sound judgments based on systems data. In addition, Lori works on dispatch QA and gives feedback to dispatchers to fix runs when needed so that they flow through the correct process in order to be billed in a timely manner. She uses her analysis to provide recommendations to management regarding on-time performance and how to better utilize the resources we have. She has a true passion for working with data and finding ways to make our service more efficient.

She is passionate about making things better for the company, patients, and employees. She continues to go above and beyond for not only for Century Ambulance Service as a company, but also for the patients that we transport each day. Her positive attitude and caring personality make her a shining star in her current role. We are proud to nominate Lori as a 2020 Florida Star of Life!

Congratulations, Andy Wilson, 2020 Florida Star of Life!

Meghan Winesett — Fri, 03 Jan 2020 17:29:02 GMT

Andy Wilson
Century Ambulance Service
Columbia County, FL
2020 Florida Star of Life

Robert “Andy” Wilson began at Century Ambulance Service as an EMT in 2016 and immediately made a positive impact to the organization. His background in security services, tactical medic teams, and as a certified 911 Public Safety Telecommunicator has been instrumental in Century’s training. As a Field Training Officer, Andy works closely with our Medical Director and Training Manager to implement new and exciting education programs to Century Ambulance employees, surrounding County EMS departments, and local EMT and paramedic students. He is the lead instructor on Century’s “high performance CPR” and “pit crew” training platforms and he instituted Century’s in-pool, hands-on Water Rescue Course. The dedication and passion Andy has for training was a major factor in the improved ROSC rates within our EMS area.

Andy is known for his light-heartedness and practical jokes around the station. He is an approachable and open leader who enjoys the opportunity to work with his peers in perfecting their practice. If you ever walk into the training building at EMS Headquarters, you will also be struck by his amazing photography. He is known as the “unofficial” photographer for EMS, fire, police, and air medical transport within Columbia County. Andy is a recent paramedic graduate of Florida Gateway College and we look forward to watching him further excel in the EMS field. Century Ambulance Service is honored to call Robert “Andy” Wilson our Star of Life for 2020.

Congratulations, Jane Mieras, 2020 Florida Star of Life!

Meghan Winesett — Fri, 03 Jan 2020 17:14:29 GMT

Jane Mieras
Century Ambulance Service
Columbia County, FL
2020 Florida Star of Life

Jane Mieras began her EMS career 27 years ago in Northeast Florida and joined Century Ambulance Service in 2002 as a Paramedic in Columbia County. Jane has also proudly served as a Paramedic at Hamilton County Hospital and Suwannee County Emergency Services. In 17 years of dedicated service with Century Ambulance, Jane has risen through the ranks, becoming a Critical Care Paramedic and holding positions as Station Captain and Field Training Officer.

Working in both the 911 and inter-facility patient care arenas, Jane’s extensive knowledge and hands-on experience makes her relatable to anyone aspiring to work in EMS. She continues to work with local EMT and paramedic students and takes pride in molding the future generations of the industry. As a Field Training Officer for Century, her infectious laugh, overall positive attitude, and clinical expertise continues to be instrumental in helping new staff understand the nuances of working in a department with 911 scene calls and critical care hospital-to-hospital transports. Her bedside manner and clinical skills are exquisite; not only with her patients, but with family, the community, and staff alike. She has received many accolades for her compassionate care and is always willing to take the extra time to hold a hand, answer questions, and provide comfort to those in need. In her free time, Jane loves to work with plants and is a member of the Arbor Foundation. She also loves painting, crafts, and spending time with her 4 children, 7 cats, and 4 dogs. Full of passionate leadership and unparalleled medical care, Century Ambulance Service is honored to call Jane Mieras a friend, colleague, and the 2020 Florida Star of Life.

Congratulations, Anthony Carrillo, 2020 Florida Star of Life!

Meghan Winesett — Fri, 03 Jan 2020 16:52:15 GMT

Anthony Carrillo
Century Ambulance Service
Fort Lauderdale, FL
2020 Florida Star of Life

Anthony was born with a desire to serve. After graduating high school, he started his career as a Fire Fighter with Edgewater Fire Rescue. Shortly after his work began, he decided to join the US Military. Anthony was sent to Riyad to fight in Operation Desert Storm, helping liberate the people of Kuwait and fight the invading forces of Iraq. Upon retiring from the US Army, Anthony returned to EMS, upgrading his education to the level of a Critical Care Paramedic, and relocating to South Florida.

Century Ambulance entered the South Florida market in the summer of 2018 and Anthony was one of the first employees. Anthony currently works as a Critical Care Paramedic, Flight Medic, and Field Training Officer. He has set the bar high for Clinical Care and thrives on providing outstanding care for the sickest and most critical patients. He has earned an outstanding reputation among his peers and the facilities we work with. While Anthony may not have one singular event of heroism or superior application of his skill, it is his continuous 20+ years of compassionate care and his desire to continue learning the field of critical care paramedicine that make him our nominee for a 2020 Star of Life.

Congratulations, Jeff Avinger, 2020 Florida Star of Life!

Meghan Winesett — Fri, 03 Jan 2020 16:10:51 GMT

Jeff Avinger
Century Ambulance Service
Jacksonville, FL
2020 Florida Star of Life

Jeff started his employment with Century Ambulance Service as a paramedic in 2016. In his time with Century, Jeff has demonstrated leadership, enthusiasm, and a drive to improve himself and others around him. Jeff is tedious at what he does and makes sure things are done correctly.

Jeff has elevated his education by becoming a critical care paramedic and assisting in the implementation of Century’s critical care program. He has worked to bring in higher acuity drugs and equipment to make the program function at its highest capacity. The critical care unit piloted a tele-stroke program, during which Jeff became the point person, and has done a fantastic job. Jeff is continually looking for innovative ways to advance our critical care unit.

In the same way he has helped the critical care team, Jeff has also assisted in our training department by becoming an instructor and teaching our crews special event training. Jeff maintains our crews and staff for our NFL contract and is on the field every game. He also aides in teaching our internal vent 101 and vent 102 classes, which provide our crews with basic and advanced ventilator training.

Jeff has always led by example. He is an exemplary employee, has a thirst for knowledge, and has an amazing work ethic. Century Ambulance Service is honored to nominate Jeffery Avinger as a 2020 Florida Star of Life.

Congratulations, Jacki Martin, 2020 Florida Star of Life!

Meghan Winesett — Mon, 23 Dec 2019 17:15:29 GMT

Jacki Martin
American Medical Response
Bushnell, FL
2020 Florida Star of Life

Jacki was born in Tampa, Fl. At just 14 years old she had to perform CPR on her 10-day-old nephew with the help of a 9-1-1 operator. Ever since that day, she’s known that she wanted to help save lives. Jacki has been in 9-1-1 communications since 2001. Her drive and deeply caring personality touches not only her patients, but her co-workers, family, and friends.

In her position as a communications center shift supervisor, she treats everyone as if they were members of her own family. She has an incredible ability to calm the excited, comfort the scared, and instill confidence in every caller. No caller is too young or to old, too forceful or too frail. She treats everyone with respect and dignity.

Jacki is an excellent communicator. She knows when to sit back and listen and when to take charge. She provides excellent Emergency Medical Dispatch (EMD) care, but also provides quality improvement to her co-workers and the entire operation. Jacki is always professional and is careful not to provide false promises to callers or inflate their expectations during a stressful incident. Anytime there is a need for someone to represent AMR in a public forum, Jacki is the first person that comes to mind.

Jacki Martin approaches each day with the mindset that she will do her part to save the world, one patient at a time. As a primary trainer for our organization, she often refuses to give up on new hires that may not be performing to our standards. She genuinely cares for everyone.

Jacki is married to Phil Martin and has 4 amazing children, 3 of which she and Phil have adopted into their family. We are honored to nominate Jacki as a 2020 Florida Star of life.

Congratulations, Doug Frost, 2020 Florida Star of Life!

Meghan Winesett — Thu, 19 Dec 2019 16:52:45 GMT

Doug Frost
Sunstar Paramedics
Largo, FL
2020 Florida Star of Life

Florence Nightingale once said, “I attribute my success to this – I never gave or took any excuse.” Simple, powerful, and the core foundation of every person who commits their life to the Nursing profession. Even though he is too humble to admit it, these words also depict the unwavering work ethic of Sunstar Paramedics Critical Care Transport (CCT) RN, Doug Frost.

Doug began his journey in pre-hospital medicine in 1980 as an EMT and soon became a Paramedic in 1981, launching his career with EMS in the critical care flight field. He contributed to the growth, development, and leadership of many flight organizations as the Chief Flight Paramedic and Medical Coordinator. He continued this path in similar roles with the Sunstar Critical Care Transport team, bringing his vast experience along with him. Doug also has two very bright and successful Daughters, Sydney and Lexy, and an incredible and supportive wife, Michelle. For some, this would be enough– a healthy family and successful career, but he didn’t stop there.

Through a burning desire to achieve more and better his ability to treat others, Doug obtained his nursing license in 2005. This propelled him into a new world, shifting from the Paramedic to the Nursing perspective, and landed Doug with the Sunstar Critical Transport Team as the CCT RN Clinical and Operational Supervisor.
Doug has facilitated multiple CAMTS reaccreditation cycles and has been a tremendous leader for our organization. He comes through for his patients and crew members on every occasion. His relentless dedication and commitment is nothing short of amazing. He has been awarded many accolades as a result of outstanding patient care on IABPs, LVADs, and ECMO calls. We believe he is a true example of what leadership, dedication, commitment, compassion, and care means to our profession. We honored to nominate Doug as a 2020 Florida Ambulance Association Star of Life.

Congratulations, Ronald McKnight, 2020 Florida Star of Life!

Meghan Winesett — Thu, 19 Dec 2019 14:46:49 GMT

Ronald McKnight
American Medical Response
Orlando, FL
2020 Florida Star of Life

Ronald McKnight has been a paramedic with AMR since December 2014. On December 2, 2019 his unit, AMR 167, was among the many dispatched to a mass casualty incident (MCI) traffic collision. On the scene, his unit found 8 BLS patients who wanted to stay together and be transported to Dr. Phillips. McKnight and his crew kept the patients together, ensured appropriate patient care, and despite a language barrier, managed to gather all the necessary information for a seamless transfer to the emergency department staff.

FAA at EMS Today 2020

Amanda Riordan — Fri, 25 Oct 2019 15:36:44 GMT

New Mailing Address

Amanda Riordan — Tue, 10 Sep 2019 18:27:57 GMT

Need to send a letter or payment to FAA? Please use our NEW mailing address!

Florida Ambulance Association
PO Box 96503 #72319
Washington, DC 20090-6503

Hurricane Dorian Response

Amanda Riordan — Tue, 10 Sep 2019 18:23:53 GMT

Florida Ambulance Association members mobilize to respond to emergencies, including Hurricane Dorian. Visit the FAA Facebook page to view photos of members in action serving Florida's communities.

Invite your legislators on an ambulance ride-along!

Amanda Riordan — Thu, 18 Jul 2019 12:00:14 GMT

Educating your members of Congress—and state level elected officials—about mobile healthcare makes them much more likely to support your efforts. An easy and effective way to educate them is to invite them to participate in a local Ambulance Ride-Along!

Visit the American Ambulance Association website for access to a free toolkit to make asking for ride-alongs a breeze.

2018-2019 FAA Annual Report

Amanda Riordan — Tue, 09 Jul 2019 14:37:45 GMT

It's here! Members, download the new FAA Annual Report on the Meeting Archive page.

What kind of radios do you use?

Amanda Riordan — Tue, 02 Jul 2019 16:55:45 GMT

By request of Paul Leinas, EMS Preparedness Coordinator for the Bureau of Emergency Medical Oversight, FAA is collecting information about the make, model, and quantity of portable radios that members use during deployments.

This information will allow the state to purchase adapters for each radio type to allow the state to coordinate with responding agencies over ReadyOps utilizing voice (VOIP) and radio (ROIP) over the internet.

As we are approaching hurricane season, we request that you provide this information by 5:00 pm ET on July 10.

Answer Our Quick Survey

2019 Florida Stars of Life!

Amanda Riordan — Wed, 08 May 2019 19:24:57 GMT

The Florida Ambulance Association is very proud to introduce the 2019 #StarsofLife from our home state! Meet these dedicated #mobilehealthcare professionals from Sunstar Paramedics, National Health Transport, Inc., AMR Sumter, and Century Ambulance Service, Inc. at https://ems.zone/19FLstars! #SupportEMS #NotJustaRide

2018 EMS Annual Survey Results

Amanda Riordan — Mon, 08 Apr 2019 15:48:24 GMT

The Bureau of Emergency Medical Oversight has just released the 2018 EMS Annual Survey results.

2018 EMS Annual Survey.pptx

Kudos to the state team for such a comprehensive measurement instrument and report-out!

Check out photos from the February 12 Hill Day!

Amanda Riordan — Tue, 12 Feb 2019 16:02:27 GMT

Visit Facebook to see pictures from the February 12 FAA Hill Day! Go Now>

President Peterson on the Disaster Podcast

Amanda Riordan — Mon, 14 Jan 2019 23:59:50 GMT

FAA President John Peterson recently appeared on the Disaster Podcast to speak about the Sunstar Paramedics team's response to #HurricaneMichael. Don't miss his insights! Listen now>

FAA members respond to Hurricane Michael

Amanda Riordan — Thu, 11 Oct 2018 19:27:49 GMT

Follow FAA on Facebook to see how our member organizations are working to respond to the aftermath of Hurricane Michael.

FirstCoast Webinar Follow-Up

Amanda Riordan — Wed, 01 Aug 2018 13:18:40 GMT

On July 11, FirstCoast Service Options presented a webinar for ambulance providers. FirstCoast has shared with the FAA membership the following resources:

FAA leaders participated in the webinar and will keep a close eye on future announcements and educational opportunities.

Congratulations to the FAA Board!

Amanda Riordan — Wed, 11 Jul 2018 20:26:31 GMT

At today’s Florida Ambulance Association meeting, the membership elected its officers for a two-year term. Congratulations to:

President John Peterson (Sunstar Paramedics) - new to role
President-Elect Terence Ramotar (AMR) - newly created role
Secretary Alissa Garcia (National Health Transport) - new to board
Treasurer Holly Martin (Nature Coast EMS) - continuing
Immediate Past President Alan Skavroneck (Ambtitrans) - continuing

Thanks to all who attended, and thank you to the board for volunteering to serve.

Congratulations also to our newly selected lifetime members, Walt Eismann and David Dyal. These former FAA leaders were elected to lifetime membership in recognition of their many years of selfless service to Florida EMS.

Happy Independence Day!

Amanda Riordan — Tue, 03 Jul 2018 14:58:25 GMT

Happy Independence Day from the Florida Ambulance Association!

EMT Working Group Balance Billing Whitepaper

Amanda Riordan — Mon, 02 Jul 2018 18:20:05 GMT

The Florida Office of the Consumer Advocate issued it's Emergency Medical Transportation Working Group Report here.

Florida names nine proposed medicaid health plans

Amanda Riordan — Wed, 25 Apr 2018 20:33:29 GMT

Florida officials on Tuesday announced the names of the nine health plans the state wants to ink contracts with to provide health care to nearly four million poor, elderly and disabled residents.

Read the full article by Christine Sexton on Orlando Weekly>

Check out the 2017 FAA Annual Report!

Amanda Riordan — Thu, 19 Apr 2018 17:53:28 GMT

The Florida Ambulance Association is hard at work for its members. The board represents the interests of ambulance providers on an array of legislative and regulatory fronts. Read all about YOUR association's 2017 activities in the Annual Report newly posted to the member-only section of the FAA site.

Ambulance Payment Reduction for BLS Dialysis Transports

Amanda Riordan — Mon, 09 Apr 2018 17:54:46 GMT

From the Medicare Learning Network

Increased Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities

MLN Matters Number: MM10549
Related CR Release Date: April 6, 2018
Related CR Transmittal Number: R4017CP
Related Change Request (CR) Number: 10549

Effective Date: October 1, 2018

Implementation Date: October 1, 2018

PROVIDER TYPES AFFECTED

This MLN Matters Article is intended for providers and suppliers billing Medicare Administrative Contractors (MACs) for ambulance transport services provided to Medicare beneficiaries.

PROVIDER ACTION NEEDED

Change Request (CR) 10549 provides instructions regarding Section 53108 of the Bipartisan Budget Act of 2018. This section reduces the ambulance payment by 23 percent for non-emergency Basic Life Support (BLS) transports of individuals with End-Stage Renal Disease (ESRD), to and from renal dialysis treatment (at both hospital-based and freestanding renal dialysis treatment facilities). Please make sure your billing staffs are aware of these changes.

BACKGROUND

Payment for ambulance transports (including items and services furnished in association with such transports) are based on the Ambulance Fee Schedule (AFS) and include a base rate payment plus a separate payment for mileage. This raised payment reduction for non-emergency BLS transports to and from renal dialysis treatment applies to both the base rate and the mileage reimbursement.

CR8269, issued May 10, 2013, implemented Section 637 of the American Taxpayer Relief Act of 2012, which, for transports occurring on and after October 1, 2013; required a 10-percent reduction in fee schedule payments for non-emergency (BLS transports of beneficiaries with ESRD); to and from both hospital-based and freestanding renal dialysis treatment facilities, for non-emergent dialysis services. The MLN Matters article associated with this CR is available at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8269.pdf.

MLN Matters MM10549 Related CR 10549

CR10549 provides instructions regarding Section 53108 of the Bipartisan Budget Act of 2018, (signed into law on February 9, 2018), which requires that, effective October 1, 2018, the reduction of fee schedule payments for BLS transports to and from renal dialysis treatments be increased to 23 percent.

Non-emergency BLS ground transports are identified by Healthcare Common Procedure Coding System (HCPCS) code A0428 (Ambulance service, basic life support, non-emergency transport, (bls)). Ambulance transports to and from renal dialysis treatment are further identified by origin/destination modifier codes “G” (hospital-based ESRD) and “J” (freestanding ESRD facility), in either the origin or destination position of an ambulance modifier.

Specific Details

 Effective for claims with dates of service on and after October 1, 2018, payment for non-emergency BLS transports to and from renal dialysis treatment facilities will be reduced by 23 percent. The reduced rate will be calculated after the normal payment rate (including any applicable add-on payments) is calculated, and will be applied to the base rate for non-emergency BLS transports (identified by HCPCS code A0428 when billed with the indicated modifier codes) and the associated, separate mileage payment (identified by HCPCS code A0425).

Payment for emergency transports and non-emergency BLS transports to other destinations (rural and urban) will remain unchanged. The AFS will also remain unchanged.
For ambulance services, suppliers and hospital-based ambulance providers must report an accurate origin and destination modifier for each ambulance trip provided. Origin and destination modifiers used for ambulance services are created by combining two alpha characters. Each alpha character, with the exception of “X”, represents an origin code or a destination code. The pair of alpha codes creates a modifier. The first position alpha code equals origin; the second position alpha code equals destination.
The reduction will be applied on claim lines containing HCPCS code A0428 with modifier code “G” or “J”, in either the first position (origin code) or second position (destination code) within the two-digit ambulance modifier code and HCPCS code A0425.
MACs will keep in place all existing edits and logic (implemented previously via CMS CR 8269) that currently apply to the reduced AFS payment rates; however, effective for claims with dates of service on or after October 1, 2018, will increase the reduction from 10 percent to 23 percent. Additionally, they will continue to use the claim adjustment reason code, group code and Medicare Summary Notice messages that are currently used for the reduced AFS payment methodology

Note: This 23-percent reduction applies to beneficiaries with ESRD that are receiving a non-emergency BLS transport to and from renal dialysis treatment. While it is possible that a beneficiary who is not diagnosed with ESRD will require routine transport to and from renal dialysis treatment, it is highly unlikely. However, MACs have the discretion to override or reverse the reduction on appeal if they deem it appropriate based on supporting documentation.

MLN Matters MM10549 Related CR 10549

ADDITIONAL INFORMATION

The official instruction, CR10549, issued to your MAC regarding this change is available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R4017CP.pdf.

If you have any questions, please contact your MAC at their toll-free number. That number is available at https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map/.

______________

DOCUMENT HISTORY
Date of Change Description

April 6, 2018

Initial article released.

Disclaimer: This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2017 American Medical Association. All rights reserved.

Copyright © 2018, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. To license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816 or Laryssa Marshall at (312) 893-6814. You may also contact us at

ub04@healthforum.com

The American Hospital Association (the “AHA”) has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

Article: Pre-Planning Aids Hurricane Response

Amanda Riordan — Mon, 19 Mar 2018 14:38:51 GMT

FAA Acting President John Peterson recently shared with JEMS the value of advanced preparation to hurricane response. Read his article here►

Update on Erroneous Claim Denials for SNF Patients

Amanda Riordan — Fri, 16 Mar 2018 18:05:34 GMT

After the renewal of the ambulance Medicare add-ons, the Centers for Medicare and Medicaid Services (CMS) made a mistake when it uploaded the 2018 SNF Consolidated Billing file. CMS neglected to list the ambulance HCPCS codes (A0425, A0426, etc.) as exempt. As several members have noted, this resulted in many erroneous claims denials for patients in SNFs.

After consultation with experts, FAA believes that this issue has been resolved, and that no action is needed by ambulance providers. FirstCoast is expected to automatically reprocess the erroneous denials fairly quickly.

As a matter of precaution, members are advised to keep a list of impacted claims in case an appeal is needed in the future, within the usual 120 window. (Appeal is not recommended at this juncture as this might limit FirstCoast's ability to automatically reprocess the claim.)

Read the most recent FirstCoast post about this issue.

State Awards Nominations Open

Amanda Riordan — Mon, 19 Feb 2018 16:41:40 GMT

For over 25 years, the Florida Department of Health had the honor of recognizing the men and women who provide lifesaving services in times of crisis. This is a small way of paying tribute to the brave medical professionals and agencies that ensure the public’s health and safety in times of an emergency. The following award categories represent several aspects of the prehospital environment. The department is honored to receive nominations each year. The Application form is now available.

Nominate Today!

Add-Ons Renewed, Fee Schedule Released

Amanda Riordan — Mon, 19 Feb 2018 16:41:08 GMT

Thank you to the many FAA members who worked to encourage legislators to renew the ambulance Medicare add-ons. Per the American Ambulance Association (AAA), these were recently extended through 2022, with the following specific provisions:

5 year extension of the ambulance Medicare add-ons through December 31, 2022, retroactive to January 1, 2018.
AAA’s preferred method of Cost data collection that provides flexibility to the Secretary of HHS in developing the system. Consultation with the industry is required so that it strikes the appropriate balance between obtaining meaningful data while not overly burdening or onerously penalizing the ambulance services.
The penalty for failing to report required data would be a reduction in payment up to 10% for the year following the year in which the data should have been submitted. AAA objected to the house proposed penalty of up to a year of Medicare payments clawback or withholding of payments. A clause is included to wave the penalty in cases of hardship.
A “pay-for” for the 5-year extension of the add-ons with a 13% cut to non-emergent dialysis transports – the AAA had objected to the offset and pushed for a cut targeted to just those entities which abuse the dialysis transport benefit. AAA was successful in reducing the initial cut from 22% to 13%. The AAA is actively working on other pay-for options that would replace the 13% cut with something targeting dialysis fraud and abuse.

Additionally, thanks to eagle-eyed FAA member Bryan Andrews for the following information!

CMS has published an updated fee schedule, and.First Coast Service Option's contractor ID is 09102. (As of yesterday, it does not appear that FCSO has updated their site.)

CMS Website Ambulance Page

Florida EMS Survey Results Now Available

Amanda Riordan — Fri, 02 Feb 2018 14:42:24 GMT

This year's Bureau of Emergency Medical Oversight EMS Survey received record response. Review the full results in this PDF►

Congratulations, Chief Dyal!

Amanda Riordan — Fri, 19 Jan 2018 12:52:04 GMT

At yesterday's FAA membership meeting, long-term former board member Chief Dave Dyal received the FAA Lifetime Achievement Award. Congratulations, Chief Dyal, on your retirement!

See photos on Facebook>

Happy Holidays from FAA!

Amanda Riordan — Wed, 20 Dec 2017 16:02:21 GMT

The Florida Ambulance Association wishes EMS across our state a safe and happy holiday season. Thank you for your service!

President Eismann's Retirement

Amanda Riordan — Fri, 15 Dec 2017 14:06:26 GMT

It is with personal regret but deepest warm wishes that I announce the retirement of Florida Ambulance Association President Walt Eismann. Walt served the FAA for decades, and EMS since 1982. We thank him for his guidance, time, and thought over these many years.

It is a testament to Walt’s excellent governance and leadership that our association can continue to move forward, even in his absence. In accordance with FAA bylaws, as your Vice President I have assumed the role of Interim President until our meeting in Daytona Beach in January. At that time, the membership will discuss this matter further and determine whether to hold a special election that day or wait for the regularly-scheduled elections in July. In the meantime, the FAA board—Immediate Past President Alan Skavroneck, Secretary Terence Ramotar, Treasurer Holly Martin, and myself—continue to work diligently to continue seamless representation of our industry in Tallahassee.

Should you have any questions, please don’t hesitate to contact faa@ambulance.org, or reach out to me directly at jpeterson@sunstarems.com. Thank you for your continued support of the Florida Ambulance Association.

Learn more about the January Special Membership Meeting►

Happy Thanksgiving!

Amanda Riordan — Wed, 22 Nov 2017 18:21:16 GMT

Happy Thanksgiving to Florida's ambulance services. We thank you for your dedicated service to our communities.

FAA in Washington, DC!

Amanda Riordan — Thu, 09 Nov 2017 23:38:34 GMT

Many thanks to FAA President Walt Eismann as well as Raul Rodriguez and Alissa Garcia of National Health Transport! Walt, Raul, and Alissa visited with the offices of their Senators and Representatives today to advocate for fair reimbursement for ambulance services.

View photos of their DC trip on FAA Facebook!

New Benefit for FAA Members: Billing & Reimbursement Forum

Amanda Riordan — Wed, 01 Nov 2017 22:42:48 GMT

Thanks to a great suggestion from Florida Ambulance Association member Bryan Andrews (Lake EMS), FAA has launched a new Billing & Reimbursement Forum.

Visit the new Forum today to post questions about ambulance billing, or to respond to questions submitted by your peers. Please be sure to "Subscribe" in order to receive email alerts when new questions or responses are received.

Need help logging in to the FAA site to access the Forum? Reset your password here, or contact faa@ambulance.org!

Thanks so much for your continued support!

On-Demand FCSO Ambulance Webinar & Follow-Up Questions

Amanda Riordan — Tue, 22 Aug 2017 15:17:17 GMT

On July 11, 2017, First Coast Service Options presented a webinar for ambulance services. The on-demand recording is now available, in addition to the answers to several follow-up questions.

FAA Supports Federal Senate Bill S.967

Amanda Riordan — Thu, 27 Jul 2017 12:00:33 GMT

Following a member survey, the Florida Ambulance Association is proud to announce its support of Senate Bill S.967, the Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2017.

Should you have any questions regarding the bill, please contact acamas@ambulance.org.

Congratulations, Alan Skavroneck!

Amanda Riordan — Tue, 11 Jul 2017 14:47:46 GMT

Congratulations to Alan Skavroneck, Immediate Past President of the Florida Ambulance Association! Alan, of Ambitrans Ambulance, was presented with a plaque today by President Walt Eismann in recognition of his many years of leadership.

See photos>

Ford Recalls 2015 to 2017 Transits

Amanda Riordan — Thu, 29 Jun 2017 21:47:39 GMT

Please be advised that Ford has issued a recall of late-model Transits.

From the Ford website:

Ford is issuing a safety recall for approximately 400,000 2015-17 Ford Transit van/bus vehicles with medium, long and extended wheelbases and chassis cab/cutaways with medium wheelbases to replace the driveshaft flexible coupling.

In the affected vehicles, continuing to operate a vehicle with a cracked flexible coupling may cause separation of the driveshaft, resulting in a loss of motive power while driving or unintended vehicle movement in park without the parking brake applied. In addition, separation of the driveshaft from the transmission can result in secondary damage to surrounding components, including brake and fuel lines. A driveshaft separation may increase the risk of injury or crash.

Ford is not aware of any accidents or injuries associated with this issue.

Affected vehicles include 2015-17 Ford Transit vehicles built at Kansas City Assembly Plant, Jan. 17, 2014 to June 15, 2017.

The recall involves approximately 402,462 vehicles in North America (370,630 in the U.S., 2,361 in federalized territories, 3,217 in Mexico and 26,254 in Canada). The Ford reference number for this recall is 17S15.

Based on the field data, Ford does not expect the current flexible couplings to deteriorate sufficiently to result in driveline separation in vehicles with less than 30,000 miles. Hence, for affected vehicles with under 30,000 miles or vehicles that have had a driveshaft or driveshaft flexible coupling replaced within the last 30,000 miles, no alteration or interim repair is required until the vehicle or replaced flexible coupling reaches 30,000 miles. At that point, the customer should schedule an appointment with their dealer for the interim repair to be performed.

For affected vehicles with more than 30,000 miles, the interim repair will consist of replacing the driveshaft flexible coupling every 30,000 miles until the final repair is available and completed. Owners will be notified by mail and instructed to take their vehicle to a Ford or Lincoln dealer to have the flexible coupling replaced immediately at no cost. When the permanent repair is available, owners will be notified that they may schedule an appointment with their dealer to have either a redesigned flexible coupling with a modified driveshaft bracket and shield or a revised driveshaft equipped with a universal joint installed at no cost.

FAA Member Stars of Life in Washington, DC

Amanda Riordan — Wed, 21 Jun 2017 15:50:57 GMT

Last week, staff from FAA member organizations Nature Coast EMS, AMR, and Sunstar Paramedics were honored as AAA Stars of Life in Washington, DC.

Congratulations to Hugo Badillo of AMR (http://bit.ly/17BadilloH), Graham Losse of Nature Coast EMS (http://bit.ly/17LosseG), Kasey Ras of Sunstar Paramedics (http://bit.ly/17RasKasey), and Jonathan Balzer of Sunstar Paramedics (http://bit.ly/17Balzer)!

Here there are with Senator Bill Nelson. Way to go!

In Memory of AMR's Lahiri Garcia and Paul Besaw

Amanda Riordan — Thu, 01 Jun 2017 17:07:14 GMT

The Florida Ambulance Association was deeply saddened to learn that Lahiri Garcia (51) and Paul Besaw (35) were killed this morning in the line of duty. Both were longstanding and respected team members at AMR Palm Beach/Broward County.

In an interview with WPTV, AMR Regional Director Bill Hall said, “The AMR family has lost two amazing people. They were dedicated husbands, fathers, friends and teammates. Our thoughts are with both families during this difficult time. Lahiri and Paul will be greatly missed.”

AMR said, "Garcia and Besaw were committed to caring for others, and together they had nearly 40 years of service for AMR and the community. Funeral arrangements have not been finalized."

On behalf of the entire FAA membership, the Board extends its deepest condolences to the Garcia and Besaw families.

EMS Week: Win up to $1000 in supplies from Savvik!

Amanda Riordan — Wed, 24 May 2017 13:11:41 GMT

FAA members have free access to the Savvik Buying Group, the largest EMS group purchasing organization.

Special for EMS Week, win up to $1,000 worth of medical supplies! Enter here.

Happy EMS Week 2017!

Amanda Riordan — Mon, 22 May 2017 13:22:38 GMT

43rd Annual EMS Week
“Always In Service”
May 21–27, 2017

Each year, EMS Week celebrates the contributions of EMTs, Paramedics, Dispatchers, and other EMS professionals to their communities. Thank you for your service!

CAAS GVS Ambulance Remount Forum June 7

Amanda Riordan — Fri, 19 May 2017 13:06:28 GMT

The Commission on Accreditation of Ambulance Services, Ground Vehicle Standard Division (CAAS-GVS) will be holding an open forum for organizations involved in the remounting of ambulances. The intent of this meeting is to identify and establish a dialogue with FSAMs and third party Remounters of ambulances in an effort to collect information that may be used in an identified project to create standards for the ambulance remount industry.

Any organization with interest in this topic is invited to attend, including ambulance builders, remounters, regulators, customers and component/material vendors.

CAAS GVS Remount Forum
June 7, 2017
NEW LOCATION: Harris Convention Center
Charlotte, NC
Register Now►

Medicaid Bulletin: Statewide Provider and Health Plan Claim Dispute Resolution Program

Amanda Riordan — Mon, 08 May 2017 14:34:43 GMT

The following communication was emailed by Florida Medicaid on Monday, May 8.

Florida Medicaid Health Care Alert

May 8, 2017

Provider Type(s): All

Statewide Provider and Health Plan Claim Dispute Resolution Program

The Agency for Health Care Administration is contracted with MAXIMUS, an independent dispute resolution organization, to provide assistance to health care providers and health plans in resolving claim disputes. Claims submitted to managed care plans that have been denied in full or in part, or allegedly underpaid or overpaid may be eligible for dispute under the arbitration process.

To learn more about these available arbitration services, go to http://ahca.myflorida.com/medicaid/statewide mc/index.shtml or contact MAXIMUS directly at 1- 866-763-6395 (select 1 for English or 2 for Spanish), and then select Option 2. Ask for Florida Provider Appeals Process.

Contact MAXIMUS for application forms and instructions on how to file a claim dispute.

Former Employee Plants False Story Against Sunstar COO

Amanda Riordan — Sun, 07 May 2017 15:50:13 GMT

Florida Ambulance Association has recently become aware of baseless Facebook and “prank” news site allegations of arrest leveled against Mr. Mark Postma, Chief Operating Officer of Sunstar Paramedics in Largo, Florida.

These scurrilous claims were posted to social media in the form of a fake news story created by a former employee. Mr. Postma and Sunstar Paramedics have requested the post’s immediate removal from Facebook as well as Channel 23 News, a “prank” news site. Additionally, the Pinellas County Sheriff’s Department has been investigating the defamatory posting.

Congratulations to Florida's 2017 Stars of Life!

Amanda Riordan — Thu, 06 Apr 2017 13:57:25 GMT

The Board of the Florida Ambulance Association would like to congratulate its members selected as 2017 American Ambulance Association Stars of Life.

The Florida Stars, joined by their executive hosts, will receive special recognition at a June awards ceremony in Washington, DC. They will also have the opportunity to meet with Florida's federal legislators to showcase the importance of EMS in our state.

Spring 2017 Florida Medicaid Provider Bulletin Now Available

Amanda Riordan — Wed, 29 Mar 2017 18:55:15 GMT

Did you miss it?

AHCA's Spring 2017 Florida Medicaid Provider Bulletin was released Monday, March 27.

Please note page 5, which briefly addresses the grievance and appeals process.

AIMHI Webinar 4/19: High Performance Fleet Management

Amanda Riordan — Tue, 21 Mar 2017 12:23:23 GMT

From AIMHI:

Support Services such as logistics and fleet functions are the 'power behind the punch' of any high value EMS Organization. Fleet operations in particular require expert management and forward planning to ensure it is mission ready for today's operations and compliant with changes to vehicle safety and manufacturing specifications in the future.

Managing such complex task vehicles in any EMS system is both a professional and full time occupation. National Award Winning (EMS10) Director of Support Services at the Richmond Ambulance Authority, Dan Fellows and James Neitz, Manager - Supply & Logistics for Northwell Health, will lead this webinar and literally deliver the nuts and bolts of a high performing ambulance fleet.

Free Claims Denial Webinar 3/16

Amanda Riordan — Wed, 08 Mar 2017 13:20:36 GMT

ZOLL will host a free webinar on "Phrases of Rejection—Words That Lead to Denied Claims" on March 16.

Phrases of Rejection—Words That Lead to Denied Claims
March 16 at 2:00 p.m. ET
Speaker: Steve Johnson, PWW
1 NAAC CEU

FAA Forms Government Affairs Committee

Amanda Riordan — Thu, 26 Jan 2017 19:27:24 GMT

The FAA has formed a committee focused on legislative and regulatory government affairs. Member ambulance services interested in participating, please contact faa@the-aaa.org.

Alan Skavroneck, FAA Past President (2017 CHAIR)
Holly Zuschlag Martin, Nature Coast
Bryan Andrews, CAO, Lake EMS
Bill McCarthy, Coastal Health Systems of Brevard
Alissa Garcia, CFO, National Health Transport
Jodi Sechler, Pinellas County EMS
Pam Bell, Billing Department, Pinellas County EMS
Tom Diaz, AMR-Tampa
Jorge Curbelo, Miami-Dade Ambulance

Jan 19 Membership Meeting Recording, Photos

Amanda Riordan — Fri, 20 Jan 2017 20:28:03 GMT

Session Recording

The recording of the January 19 FAA meeting in Daytona has been posted to the meeting archive page for member review. This recording includes a presentation by First Coast Service Options representative Robert Lewis, and is eligible for NAAC CEUs.

Service Recognition

The outstanding service of two former FAA Board leaders, Chief Dave Dyal and Mark Postma, was acknowledged by President Eismann. Thank you for all that you continue to contribute to the Florida Ambulance Association! More pictures on FAA's Facebook>

FAA Legislative & Regulatory Committee

Amanda Riordan — Thu, 19 Jan 2017 14:00:39 GMT

Active member organizations of the Florida Ambulance Association are invited to volunteer for the FAA's new committee focused on legislative and regulatory affairs. Please email faa@the-aaa.org to request to join. (The committee will be chaired by an FAA board member.)

January Meeting's FCSO Presentation Approved for NAAC CEUs

Amanda Riordan — Tue, 17 Jan 2017 14:48:56 GMT

Great news for NAAC-certified FAA members! The 90-minute First Coast Service Options presentation at the January 19 FAA membership meeting has been approved for NAAC CEUs.

Pick up your certificate onsite in Daytona, or download a copy from our member-only Meeting Documents page.

2017 Ambulance Fee Schedule Announced

Amanda Riordan — Wed, 21 Dec 2016 15:45:15 GMT

From the First Coast Service Options website, last updated 11/17/2016:

The Centers for Medicare & Medicaid Services (CMS) has issued the ambulance fee schedule (AFS) file, effective for services January 1 through December 31, 2017.

Download PDF

Happy Holidays from FAA!

Amanda Riordan — Mon, 19 Dec 2016 16:45:24 GMT

The Florida Ambulance Association wishes EMS providers across our great state a joyful holiday season. Thank you for all that you do for our communities!

IMPORTANT: Ambulance Provider Survey Due 12/31

Amanda Riordan — Mon, 21 Nov 2016 19:55:41 GMT

The Florida Ambulance Association needs your help! The FAA needs accurate data from ambulance providers of all types—for-profit, non-profit, fire-based, hospital-based, private, municipal, and all combinations of the above—in order to educate Floridian legislators about key industry issues.

Would you please complete our short survey by December 31, 2016? Please be assured that your data will be kept in strict confidence, and will be released only in aggregate statistics. Thank you in advance for your assistance with this key initiative!

COMPLETE OUR SHORT, CONFIDENTIAL SURVEY►

Erroneous Letters from SMRC StrategicHealthSolutions, LLC

Amanda Riordan — Tue, 15 Nov 2016 22:03:24 GMT

Several ambulance services across the country recently received erroneous letters from CMS Supplemental Medical Review Contractor (SMRC), StrategicHealthSolutions, LLC. These letters suggest that the ambulance service has been selected for review.

Please note that StrategicHealthSolutions, LLC has confirmed that these letters were sent in error, and were intended only for physical therapy providers.

Letters informing impacted ambulance services of the mistake are set to be mailed November 16.

(Excerpted from the American Ambulance Association's November 15 Member Advisory by Brian Werfel, Esq.)

NASEMSO Monthly Update

Amanda Riordan — Fri, 11 Nov 2016 17:14:36 GMT

President Eismann recommends that all FAA members keep up-to-date with the National Association of State EMS Officials (NASEMSO) monthly newsletter.

Catch up at on their site today! The November issue, just posted, includes updates on vehicle standards, REPLICA, opioid abuse, and more.

First Coast Announces Widespread Ambulance HCPCS Code Probe

Amanda Riordan — Fri, 14 Oct 2016 19:39:06 GMT

From the First Coast Service Options website:

First Coast Service Options Inc. (First Coast) will conduct a widespread probe (WSP) in response to an aberrant billing pattern identified for Healthcare Common Procedure Coding System (HCPCS) codes A0427 (Ambulance service, advanced life support, emergency transport, level I) and A0428 (Ambulance service, basic life support, nonemergency transport). Provider type affected specialty 59 Ambulance Company. CERT reviews indicated the errors were based on insufficient documentation to support the services billed that include missing signature, signed physician certification for the ambulance transport, and clinical documentation to support medical necessity for billed ambulance services.

First Coast will complete a WSP for dates of service February 1, 2016, to July 31, 2016, to validate the documentation supports the medical necessity and the level of ambulance service billed.

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current.

Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.

First Coast’s Medicare Speaks 2016 Tallahassee

Amanda Riordan — Tue, 11 Oct 2016 19:18:45 GMT

An update from First Coast

First Coast Service Options, your Medicare Administrative Contractor for Part A and B services in Florida, is hosting our upcoming educational symposium in Tallahassee November 2-3. If possible, would you be able to share the information below with you members? We really appreciate your help!

First Coast’s Medicare Speaks 2016 Tallahassee

November 2-3, 2016, at the Four Points by Sheraton Tallahassee Downtown

Learn what’s trending now in the fee-for-service Medicare program. Join First Coast Service Options (First Coast), your Medicare Administrative Contractor in Florida, for our upcoming educational symposium, Medicare Speaks 2016. The event occurs in Tallahassee on November 2-3. The event features 16 classes on the Medicare program focused on reducing documentation and claim errors, minimizing payment delays, and promoting the Centers for Medicare & Medicaid Services (CMS) initiatives like MACRA. Participants can select four classes per day, or select only the individual classes of interest to meet their schedule needs.

The cost is only $40 per class.

Highlights

16 Part A and B classes chosen by your peers -- View course schedule
Participation from First Coast’s operational areas such as Provider Enrollment, Customer Service, and Provider Outreach and Education departments
Medicare experts available to answer your questions at “Ask the Contractor” tables
Continuing education credits offered

The ideal audiences for the Part B classes include providers, billers, coders, office managers and compliance officers. Classes of particular interest for FMA members and their staff include:

MACRA and Medicare’s new payment reform
Preparing for and responding to additional documentation requests
Ensuring the integrity of your electronic health records
Preventive services
Coverage and billing criteria for drugs and biologicals
Understanding Medicare’s local and national coverage policies
Modifiers for same-day services
Learning Medicare through First Coast and CMS resources

For additional information regarding the event, including logistics and registration, view our Medicare Speaks 2016 Tallahassee brochure.

Note: If you do not already have a free training account with First Coast University, please click here to learn how to create one.

First Coast Service Options, Inc., and its affiliates are not responsible for errors or omissions in the transmission of this e-mail message. Any personal comments made in this e-mail do not reflect the views of First Coast Service Options, Inc., or its affiliates. The information contained in this document may be confidential and is intended solely for the use of the individual or entity to whom it is addressed. This document may also contain material that is privileged or protected from disclosure under applicable law. If you are not the intended recipient or the individual responsible for delivery to the intended recipient, please (1) be advised that any use, dissemination, forwarding, or copying of this document IS STRICTLY PROHIBITED; and (2) notify sender immediately by telephone and destroy the document. Thank you.

In Memory of Barry Mogil

Amanda Riordan — Thu, 15 Sep 2016 13:33:31 GMT

The Florida Ambulance Association is saddened to report that Barry M. Mogil, former CAAS reviewer and director of communications for Pinellas County, Florida EMS, passed away September 12.

Our thoughts are with his family. Barry’s contributions to Florida EMS will not be forgotten.

David C Gross Funeral Home Obituary

Tampa Bay Times Obituary

Catch Up on Meeting Agendas and Minutes

Amanda Riordan — Mon, 25 Jul 2016 20:47:13 GMT

FAA members can now review meeting agendas and minutes on our new Meeting Document Archive page. Login to the site, then select Members>Meeting Documents from the top navigation.

Questions? Contact faa@the-aaa.org for help!

Congratulations to the New FAA Board!

Amanda Riordan — Wed, 13 Jul 2016 17:14:39 GMT

Congratulations to the New FAA Board, elected July 13, 2016 at the Orlando Membership Meeting

Please welcome:

President Walter Eismann, COO, American Ambulance (LinkedIn)
Vice President John Peterson, CAO, Sunstar (LinkedIn, Resume)
Secretary Terence Ramotar, Regional Director, American Medical Response (LinkedIn)
Treasurer Holly Martin, Billing Supervisor, Nature Coast EMS (LinkedIn)
Immediate Past President Alan Skavroneck, Ambitrans

A big thank you to Dave Dyal, John Glover, and Mark Postma, our departing board members.

See pictures of the new and former board on the FAA Facebook page!

Photos & Presentations from the 2016 FAA Annual Workshop

Amanda Riordan — Tue, 12 Jul 2016 12:08:54 GMT

Yesterday, more than 45 FAA members gathered in Orlando for the FAA 2016 Annual Workshop. Topics covered included:

Brian Choate, "Reimbursement: Changing Payor Behavior"
Mike Hall, "Community Paramedicine Reimbursement and Sustainability"
Mike Hall, "Federal Update"
John Peterson & Malachi White, "Paramedic Recruitment & Retention"
Mark Postma, "CAAS GVS Standards"
Alan Skavroneck, "Florida Medicaid Update"
Brian Werfel, "Medicare & Revalidation Update"

Slide Presentations

FAA members can now download the slide presentations from this event in the Member Resource Library (login required).

Event Photos

Have you "Liked" FAA on Facebook yet? Like the Florida Ambulance Association page to check out some great photos from yesterday's event!

First Coast: Communication regarding Medicare's Provider Enrollment Revalidation - Cycle 2

Amanda Riordan — Tue, 28 Jun 2016 14:55:39 GMT

The FAA leadership received the following communication from First Coast on July 20, 2016.

Dear Florida Ambulance Association:

First Coast Service Options (First Coast), your Medicare Administrative Contractor for the fee-for-service program in Florida, requests your help communicating important changes to your members to prevent potential loss of revenue to their practice or facility.

Provider Enrollment Revalidation Cycle 2

All Medicare Part A and B providers are required to recertify the accuracy of their enrollment information every five years through a process known as revalidation. The initial five year revalidation cycle was completed in 2015 and the Centers for Medicare & Medicaid Services (CMS) began Cycle 2 in March 2016.

CMS implemented improvements to streamline the revalidation process during Cycle 2. One enhancement is that CMS is establishing due dates with six months of advance notice for when the revalidation application must be received to remain compliant with Medicare’s provider enrollment requirements. CMS posts the due dates for all currently enrolled providers in the Medicare Revalidation Lookup Tool at Data.CMS.gov/revalidation. A due date of “TBD” means that CMS has not set the date yet. Please do not send a revalidation application if there is NOT a listed due date. First Coast will return any unsolicited revalidation applications received earlier than six months before the due date, or when a due date is not yet listed.

The Revalidation Lookup Tool is updated every 60 days, so we encourage providers to check the tool periodically and respond timely once your due date is established. First Coast is also issuing notices by mail to providers two-three months before the due date.

An important change for Cycle 2 is that failure to submit a revalidation application will result in possible deactivation of a provider’s Medicare enrollment and billing privileges. Please note other important impacts:

If the revalidation application is received, but additional information is requested (through development) and not received within the 30-day timeframe, the provider’s Medicare enrollment will possibly be deactivated
Requests for application submission extensions will not be granted
Be sure to submit the application fee, if applicable

Please access the following key resources for additional information:

MLN® Special Edition (SE) 1605 article -
Steps for completing the revalidation process
Revalidation Cycle 2 FAQs
CMS’ Revalidations page
First Coast’s on-demand webcast recording “Provider Enrollment Revalidation – Cycle 2” (Note: To access the recording, request a free training account at First Coast University).

This communication is from First Coast’s Provider Outreach and Education department. Please do not contact First Coast Customer Service regarding this email.

First Coast Service Options Survey

Amanda Riordan — Fri, 03 Jun 2016 19:16:09 GMT

First Coast Service Options, MAC for the traditional Medicare program in Florida, asked FAA to share with you the following survey request. Please contact Kimberly.Karnes@fcso.com should you have questions!

Evaluate First Coast Service Options' services in 10 minutes
Dear Medicare providers,

The Medicare administrative contractor (MAC) Satisfaction Indicator (MSI) is the best way to share your opinions of our service directly to CMS. First Coast Service Options is your MAC in Florida. This survey should only take about 10 minutes of your time and helps us understand how we can better service you. For a preview of the survey questions view the MSI Questionnaire on CMS’ website. To take the survey, click on the link below:

SURVEY LINK: https://cfigroup.qualtrics.com/SE/?SID=SV_bp9wfwWbjvyXhiJ&MAC=JN - First Coast&MAC_BRNC=9

If you would like us to contact you about your responses to the 2016 survey send us your name, telephone number and email address to Kim Karnes at elearning@fcso.com. Submitting your contact information is optional and we will only use it to contact you for the purpose of understanding your responses. Thank you for your feedback.

Also, thank you for your feedback in 2015. You may read about some of our changes here .

Sincerely,

First Coast Service Options

Nominations OPEN for FAA Board!

Amanda Riordan — Tue, 31 May 2016 21:40:32 GMT

The FAA leadership is excited to announce that nominations for the July board elections are now open!

New this year, members can submit nominations using our friendly online form.

NOMINATE NOW

(To view a list of position descriptions and requirements, please login to the FAA Member Center and review our bylaws.)

Have questions or need assistance? Contact faa@the-aaa.org!

New bylaws draft for member review

Amanda Riordan — Tue, 31 May 2016 20:30:00 GMT

Thanks to President Skavroneck and Secretary-Treasurer Dyal, an exciting new version of the Florida Ambulance Association's bylaws is ready for member review!

Please visit the FAA Member Center (login required) to review the current and proposed versions. Discussion will take place at the July 13 FAA membership meeting in Orlando.

Happy EMS Week from FAA! #EMSstrong

Amanda Riordan — Sun, 15 May 2016 13:16:45 GMT

Happy EMS Week from the Florida Ambulance Association. Thank you for all that you do for our communities.

If you are hosting any special activities this week, FAA would love to share photos! Please email faa@the-aaa.org or reply to the forum post requesting pictures.

Thank you again for your service, and see you in July at the FAA Annual Workshop and membership meeting!

FAA Nominations Opening Soon!

Amanda Riordan — Sun, 08 May 2016 15:23:12 GMT

Stay tuned for a link to the 2016 FAA Election Nomination form to submit your nominees for Florida Ambulance Association leadership!

AHCA Alert: Proposed Rule 59G-4.330, Non-Emergency Transportation Services

Amanda Riordan — Fri, 12 Feb 2016 16:16:12 GMT

Florida Medicaid Health Care Alert
February 12, 2016
Provider Type(s): All

Rule 59G-4.330, Non-Emergency Transportation Services

Notice of Proposed Rule

The Agency for Health Care Administration has scheduled a hearing for Rule 59G-4.330, Florida Administrative Code (F.A.C.), Non-Emergency Transportation Services.

The workshop is scheduled for March 3, 2016 from 2:30 p.m. to 3:30 p.m. ET at the:

Agency for Health Care Administration

2727 Mahan Drive

Building 3, Conference Room A

Tallahassee, FL 32308

There will not be a phone call-in number available.

Official notice of the public meeting was published in Volume 42, Number 28 of the Florida Administrative Register (FAR) on February 11, 2016. A copy of the notice may be found on the FAR Web site.

Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop on our Draft Handbooks, Fee Schedules, and Other Documents Web page.

Thank you.

QUESTIONS? FLMedicaidManagedCare@ahca.myflorida.com

COMPLAINTS OR ISSUES? ON LINE | CALL 1-877-254-1055

The Agency for Health Care Administration is committed to its mission of providing "Better Health Care for All Floridians." The Agency administers Florida’s Medicaid program, licenses and regulates more than 45,000 health care facilities and 34 health maintenance organizations, and publishes health care data and statistics at www.FloridaHealthFinder.gov. Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter (@AHCA_FL) and YouTube (/AHCAFlorida).

AHCA Alert: Rule 59G-4.015, Emergency Transportation Services

Amanda Riordan — Fri, 12 Feb 2016 16:10:05 GMT

Florida Medicaid Health Care Alert
February 12, 2016
Provider Type(s): All

Rule 59G-4.015, Emergency Transportation Services

Notice of Proposed Rule

The Agency for Health Care Administration has scheduled a hearing for Rule 59G-4.015, Florida Administrative Code (F.A.C.), Emergency Transportation Services.

The workshop is scheduled for March 3, 2016 from 1:30 p.m. to 2:30 p.m. ET at the:

Agency for Health Care Administration

2727 Mahan Drive

Building 3, Conference Room A

Tallahassee, FL 32308

There will not be a phone call-in number available.

Official notice of the public meeting was published in Volume 42, Number 28 of the Florida Administrative Register (FAR) on February 11, 2016. A copy of the notice may be found on the FAR Web site.

Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop on our Draft Handbooks, Fee Schedules, and Other Documents Web page.

Thank you.

QUESTIONS? FLMedicaidManagedCare@ahca.myflorida.com

COMPLAINTS OR ISSUES? ONLINE | CALL 1-877-254-1055

Agency for Health Care Administration | 2727 Mahan Drive, Tallahassee, FL 32308 | http://ahca.myflorida.com

BEMO “Montage Mondays” Monthly Webinars

Amanda Riordan — Thu, 04 Feb 2016 14:22:04 GMT

The Bureau of Emergency Medical Oversight will conduct a webinar every third Monday of the month. These webinars will allow all interested parties to have a better understanding of the processes of the EMS Section. Below is a schedule for the next six months. Each registration link will provide more information about the topic.

If you have any questions regarding training, Please contact Ina Leinas at Ina.leinas@flhealth.gov or by calling 850-245-4440 extension 2752.

FAA Advocacy: COPCN Outreach Request

Amanda Riordan — Mon, 18 Jan 2016 14:32:32 GMT

The Florida Ambulance Association has retained law firm Dean Mead to assist with lobbying on several key issues, including the process for the issuance of Certificates Of Public Convenience and Necessity (COPCNs). Below is a request from Dean Mead.

______________________________

Dear FAA Members,

Per our conversation with FAA leaders, we recommend that members of the Association call members of these Committees that represent the area(s) that they work and live in.

Committees:

Think regionally when you look at the list, to decide who to call. If you know a legislator on the committee, but they don't represent your area, call them, too. Talk to an aide if you can't talk to the member, which is likely. Follow up with an email. We also ask that you contact all members of your county delegation. However, the first priority is members of the committees.

After you introduce yourself and your business, the message is this:

You are opposed to this legislation as it appears to be attempting a statewide fix to cure a local political dispute.
The current system of issuing COPCNs is working fine and as private providers working within this system, we feel that it has been fair.
The methods of evaluating COPCNs under current law and ordinance work. They reflect each jurisdiction's unique needs.
The bill also creates a new appeal process which would be exclusive to applicants who are currently providing fire rescue services and first response which would preclude private providers from an appeal right they have now.
The suggested bill just injects more uncertainty into the process and upsets a system which is working fine, and we oppose it.

Please leave them with our names, Cari Roth and Martha Edenfield, and the (850)999-4100 phone number, and tell them we'll be following up with them.

Ask if they have any questions, and please let us know (emails below) of contacts made and if you get any feedback.

Cari L Roth
Attorney at Law
CRoth@deanmead.com
850-999-4100
Dean, Mead & Dunbar

Martha J. Edenfield
Attorney at Law
MEdenfield@deanmead.com
850-999-4100
Dean, Mead & Dunbar

Medicaid Update: Express Enrollment & Streamlined Credentialing

Amanda Riordan — Tue, 22 Dec 2015 16:30:19 GMT

On December 22, 2015 FAA President Alan Skavroneck received the following information from AHCA Assistant Deputy Secretary for Medicaid Policy & Quality Beth Kidder.

Express Enrollment

Express Enrollment will provide Medicaid recipients with the opportunity to allow new enrollees who are mandated to participate in the Managed Medical Assistance (MMA) program to immediately take advantage of robust provider networks, access standards, and expanded benefits offered by the plan. Express Enrollment will provide Medicaid recipients with the opportunity to make a plan choice concurrent with eligibility application and assign Medicaid-eligible individuals who are mandated to participate in the MMA program to a health plan immediately after eligibility determination.

The State received approval on the amendment to Florida’s 1115 MMA waiver to allow for Express Enrollment. The Agency intends to implement Express Enrollment on January 11, 2016. Express Enrollment does not impact the Long-term Care program and it is not related to streamlined credentialing or limited enrollment for providers.

To access a Snapshot, webinar slides, and a Frequently Asked Questions document with more information on Express Enrollment, please use the following link: http://ahca.myflorida.com/medicaid/statewide_mc/express_enroll.shtml

Streamlined Credentialing for Medicaid Providers

The Agency for Health Care Administration has created a streamlined application, or Limited Enrollment, for providers who do not hold a Medicaid ID and need to complete basic credentialing which may be a prerequisite to seeking a contract with a Medicaid health plan.

With the implementation of Limited Enrollment in December 2015, some providers have the option to utilize a web-based Limited Enrollment application wizard which guides them through creation of the application. The streamlined application and corresponding review process allows approved providers to receive their Medicaid IDs faster than with traditional full enrollment.

NOTE: Limited Enrollment is not an option for providers of services to fee-for-service recipients. Fee-for-service providers must seek traditional full Enrollment in order to directly bill Medicaid for reimbursement.

For those providers of services solely to recipients in a health plan, Limited Enrollment is a valuable option.

For additional information or assistance with questions related to how this new enrollment type may be of benefit to your providers, please email our Managed Care Analyst for Medicaid Provider Enrollment:

Nick Constantino

Medicaid Fiscal Agent Operations

Agency for Health Care Administration

nick.constantino@ahca.myflorida.com

Limited Enrollment FAQs

How do providers submit a Limited Enrollment application?
Providers will be able to submit a Limited Enrollment application through the Public Web Portal.
What does Limited Enrollment capture?
The Limited Enrollment application captures all demographic information, licensure and exclusion databases verification, and background screenings in compliance with Affordable Care Act provider screening requirements.
When will Limited Enrollment be available?
Limited Enrollment will be available in December, 2015.
How does Limited Enrollment affect Provider Registration?
Providers that go through the Limited Enrollment process do not need to “register.” Registration should be reserved for the use of health plans to obtain Medicaid IDs for non-participating providers.
Who should apply to become a Limited Medicaid provider?
Limited Enrollment is an option for providers who will only be paid by a health plan. Providers who wish to submit claims directly to Florida Medicaid for fee-for-service reimbursement, should apply for regular Enrollment.
Can a Limited Medicaid provider bill fee-for-service?
Like Registered Medicaid providers, a Limited Medicaid provider cannot bill fee-for-service claims.
How often does Limited Enrollment need to be renewed?
Limited providers will be required to complete a renewal process every three (3) years, similar to the current renewal process for Enrolled providers.
If I am a Registered provider, do I have to become a Limited Medicaid provider?
Registered providers are not required to seek Limited Enrollment but can choose to go through the Limited Enrollment process. By meeting the additional credentialing elements included within the Limited Enrollment process (such as background screening), providers may experience additional efficiencies when seeking credentialing by health plans.
If I am a Limited Medicaid provider, can I later become an Enrolled Medicaid provider in order to bill fee-for-service?
Yes. Limited Medicaid providers can submit a new application to seek to become an Enrolled Provider.
Who do I contact if I have additional questions about Limited Enrollment?
Contact the Provider Enrollment Contact Center for additional assistance, at 800-289-7799, option 4.
What provider credentialing functions will remain with the health plans?
Onsite visits, proof of education, training, and work history will remain with the health plans along with any additional criteria as determined by the plans.

December 2015 Meetings: Thanks to Sunstar Paramedics!

Amanda Riordan — Mon, 21 Dec 2015 20:31:44 GMT

The FAA would like to give a special thank you to Sunstar Paramedics for hosting the December 15 FAA membership meeting as well as the FAA-AHCA MMA reimbursement discussion. Thank you, Mark Postma and John Peterson, for inviting us to your beautiful facility!

FAA Meeting at Sunstar Paramedics in Largo, FL

FAA-AHCA MMA Discussion at Sunstar Paramedics in Largo, FL

Welcome to the FAA's new website!

Amanda Riordan — Mon, 21 Dec 2015 19:59:31 GMT

Thank you for visiting the new website of the Florida Ambulance Association. Although the new site is still under construction, we are excited to share with you new functionality, including a membership directory, online discussion forum, and a special members-only section.

We thank you for your patience as we work to establish the FAA's new online home. Thank you for your support, and happy holidays!

(Need help? Please contact faa@the-aaa.org for assistance.)

2014 Ground Ambulance STEMI Patient Transfer Study

Amanda Riordan — Tue, 15 Apr 2014 17:38:09 GMT

The Journal of EMS published a study in April 2014 that examined the outcomes for ST segment elevation myocardial infarction (STEMI) patients transferred between hospitals by air vs. ground ambulance. The study looked at 43 transfers of at least 30 miles between two hospitals within one STEMI system. After a two-year period of air transportation with suboptimal treatment times, the referring hospital switched to ground transport. The conclusion was that using ground ambulance to transport the patients significantly reduced the "door in door out" time at the first facility (from 70 minutes to 35 minutes) and reduced the "first medical contact to balloon time" (from 123 minutes to 90 minutes).

Protecting Access to Medicare Act of 2014

Amanda Riordan — Tue, 01 Apr 2014 17:36:10 GMT

On April 1, 2014, President Obama signed into law the Protecting Access to Medicare Act of 2014. The law provides a one year extension of the temporary adjustments for ground ambulance services, and a delay in the implementation of ICD-10 codes until at least October 1, 2015.