|Bureau of EMS Policy Statement|
|Policy Statement #||13-03|
|Date||February 27, 2013|
|Supercedes/Updates||95-02, 95-05, 98-07, 99-05, 00-05 & 02-10, 09-06|
This policy statement addresses emergency medical services (EMS) educational reimbursement for course sponsors and EMS agencies. This policy replaces 09-06.
1. Basic Life Support (BLS) Course reimbursement may only be requested and received for the tuition costs of eligible students. Course sponsors may receive reimbursement for those students who are members or employees of EMS agencies recognized by DOH as providing EMS on a routine and on going basis and have an assigned EMS agency code. Employees of Fire Department of New York (FDNY) who obtain their education through the FDNY course sponsorship are eligible for course reimbursement at a reduced rate.
2. Any student who is eligible for reimbursement from the DOH Bureau of Emergency Medical Services (BEMS) and is enrolled in a course through a DOH approved course sponsor, must complete form DOH – 3312, Verification of Membership in an EMS Agency. It is the responsibility of the course sponsor to assure students return this completed document and it is placed within the student's file by the third session of the course. The definition of a "member" of an agency may be different at each agency. However, BEMS requires that the student listed be on the agency's membership roster submitted to BEMS, be actively participating in patient care for the agency, have a complete personnel file at the agency, and be documented on Prehospital Care Reports as being a part of a responding EMS crew.
3. Advanced Life Support (ALS) course reimbursement may be available for eligible students who are members or employees of ALS volunteer ambulances or ALS First Response Services, municipal services, or commercial and hospital-based services. Employees of FDNY who obtain their education through the FDNY course sponsorship are eligible for course reimbursement at a reduced rate.
4. Students who are members of a private/corporate/industrial EMS service that does not routinely provide EMS in the public sector as a primary response (i.e., corporate property response teams and specialty teams and brigades that do not have municipal recognition and a primary EMS role) are ineligible for state tuition reimbursement.
5. Students who are members of a state or federal agency EMS system are ineligible for state tuition reimbursement.
6. Reimbursement will be provided for candidates who achieve certification from a DOH approved course sponsor through an approved course or approved Continuing Medical Education (CME) refresher program. All candidates must be registered in the program with an EMS agency.
7. Faculty teaching in an EMS course in which they are enrolled, and are being paid to teach in the course they are enrolled, are ineligible for reimbursement. These instructors must check the box "On Faculty" on the student application, DOH-65 form.
1. CME Recertification: Students who are members of agencies participating in the CME Recertification program and obtain their training through an approved course sponsor, will be eligible for reimbursement of the mandatory core content hours at the CME refresher rate. Course sponsors may NOT seek reimbursement for the practical skill examinations for these students.
Agencies who are submitting vouchers for students enrolled in the CME recertification program may submit their vouchers once the student has been recertified and received their new EMT certification card. Through and Memorandum of Understanding, a course sponsor may charge an agency for providing CME content.
Course sponsors who are submitting vouchers for students enrolled in the CME recertification program and have a memorandum of understanding with the student and/or agency, may submit their voucher once the student has completed the "core" portion of the CME recertification process.
2. Rapid Recertification Courses: Course sponsors who conduct rapid recertification courses will receive a reimbursement rate of $50.00 per student in addition to the practical skill examination rate.
Course Sponsor Requirements
1. To be eligible for state tuition reimbursement, a sponsor must be approved by the DOH and have a current sponsorship agreement on file.
2. New York State requires that organizations receiving state funds have a Federal Employer Identification Number (FEIN) and a New York State Vendor Identification Number.
3. State funding is "last dollar" funding for CFR and EMT courses. Funding received from other sources, including grants, employer tuition payments (such as a volunteer's employer paying all or part of the cost of training), and municipal payments to ambulance services for this purpose, etc. must be deducted prior to requesting DOH reimbursement. The sponsor must certify that no other claim is being made for funds, which could be obtained elsewhere. Municipalities who are course sponsors may claim reimbursement directly, as long as no other state or local funds have been used to support the course. Sponsors who receive other funds toward the courses must submit vouchers that clearly indicate partial payment is being requested.
4. Students who are charged tuition may be enrolled in the same course as students for whom the sponsor is seeking state reimbursement. However, it is the responsibility of the sponsor to differentiate the students for whom DOH funding is being requested on the Standard State Voucher. Accompanying documentation listing the names of the students for whom funding is being sought must be included with the voucher submitted to BEMS.
5. Sponsors are responsible for maintaining documentation on all courses per 10 NYCRR Part 800, the Course Sponsor's Administrative Manual and BEMS Policies.
6. For the purpose of audit, sponsors are responsible for maintaining documentation of all financial aspects of the course. This includes, but is not limited to:
- The number of students enrolled
- The level of certification of students enrolled in each course; and
- Financial expenditure reports and audit trails of all student fees and NYS BEMS reimbursement dollars.
- Records of all funds requested and received from the state to support EMS courses;
- Financial records documenting use of the state reimbursement funds. Please refer to the section entitled Reimbursement Policies for details on what is considered acceptable uses of state reimbursement funds;
- Individual student records which document eligibility for course reimbursement; and
- Records documenting other funding sources received to support the course.
1. Late submission of required paperwork for examination scheduling (e.g. student applications, course memorandum, etc.) will result in a 50% reduction in a sponsor's total allowed reimbursement for the course number involved. Late submission may require the Department of Health to reschedule the requested examination date possibly impacting the students negatively. The financial penalty will be automatically imposed regardless of exam rescheduling. The value of the assessed penalty cannot be passed on to the student or included in tuition or administrative fees charged by the sponsor.
2. Repeated failure to submit required examination paperwork described in number 1 above may result in loss of all requested reimbursement for the course and loss of course sponsorship approval with DOH.
3. Failure to submit "end of course paperwork" within 5 business days of the examination date for a course may result in reduction or loss of requested reimbursement for the course.
4. These penalties do not preclude additional enforcement action and/or fines imposed upon a sponsor who consistently fails to meet program objectives and deadlines.
1) Reimbursement will only be provided for state-approved tuition costs at rates established by the state. Related expenses such as travel, textbooks, and other non-tuition items, will not be reimbursed.
2) BEMS reimbursement will be paid only once per student per course. If a course sponsor receives reimbursement for a student the agency is not eligible to receive reimbursement. If the agency receives reimbursement for a student the course sponsor is not eligible to receive reimbursement.
3) Sponsors must enroll refresher students in approved refresher courses. Refresher students may attend the same didactic and practical sessions as original students, but they must be enrolled in a refresher course. Refresher students may not be mixed in with original students under the same course number.
4) Refresher student's whose current expiration date is less than 18 months on the day of the NYS Written Certification Examination for the course in which they are enrolled, are eligible for reimbursement. If their expiration date is more than 18 months they are not eligible for reimbursement.
5) Sponsors who claim state funding may charge fees for CPR courses conducted by, or in accordance with, curricula of outside organizations.
6) Students who successfully complete more than one EMS course per year:
- The reimbursement policy limits reimbursement for student's tuition costs to no more than two courses within a 12-month period when one of the two reimbursable courses is an Advanced EMT or higher original certification course
- EMS course sponsors must bill separately for each course successfully completed by an EMS student when the student independently completes two EMS courses in a 12-month period. An example of this situation is when a student successfully completes an EMT-B course and an advanced level course within the same 12-month period, and is not enrolled simultaneously in the two programs. Another example would be when a student must refresh at the EMT-B level in order to enroll in an ALS course.
7) Requests for reimbursement will only be honored from approved course sponsors or EMS agencies that have paid the tuition for their members. Reimbursement is not made directly to students. In order for an EMS agency to be reimbursed for tuition paid; they must submit proof of the member's certification and the receipt for payment of the member's tuition for the course they completed.
8) State vouchers for reimbursement must be submitted no later than fifteen (15) business days after receipt of examination results. Practical examination vouchers should be submitted at the same time. Requests for reimbursement received after 15 days may be denied. Vouchers received prior to receipt of examination results will be returned to course sponsors for re-submittal after examination results verify the number of students eligible for reimbursement.
If an individual EMS agency is submitting a voucher for reimbursement of an approved course provided by a course sponsor, the voucher must be submitted within 15 days of the receipt of the student's certification card.
All vouchers submitted must have an accompanying list of student names and identification numbers for whom reimbursement is being sought. This can be a copy of the written examination results with the students names highlighted for who you are seeking reimbursement or an internal form developed by the course sponsor. Also, if the voucher is seeking reimbursement for the Final PSE, a copy of the Final PSE Summary Sheet must accompany the voucher. Failure to supply the required documentation will result in the voucher being denied and returned to the sponsor.
9) As required in the Sponsor's Administrative Manual, all documents related to a course must be maintained for a minimum of five (5) years. Additionally, any funds received from NYS are subject to audit by representatives of NYS. Sponsors and agencies are required to cooperate with such audits.
(10) Charging Tuition:
- a) Students who are charged tuition may be enrolled in the same course as students for whom the sponsor is seeking state reimbursement (and not subject to tuition). However, sponsors may not charge additional tuition for CFR, EMT candidates for whom reimbursement is being sought from the state.
- b) Tuition may be charged to cover the cost of training an EMT-Paramedic student. The cost, when added to the state reimbursement may not be more than the tuition that would be charged to a student who is not eligible for reimbursement.
(11) NYS Reimbursement:
- (a )Reimbursement dollars received by the sponsor from the state may only be used for direct costs of conducting the course and/or related to improvement of the sponsor's EMS educational program. These costs include but are not limited to: skills equipment (i.e., backboards, manikins), educational audio/video equipment and related software, instructor salaries, administrative costs, supplies and any other costs that are directly related to the educational programs delivered by the sponsor for NYS EMS certification courses.
- (b)Reimbursement dollars received by an EMS agency for courses provided by a course sponsor or for the CME recertification program may only be used for the sole purpose of training. The funds may be used to reimburse for training received that directly related to certification or for future training needs. These funds can be used to enhance educational programs (i.e. audio visual equipment, textbooks, educational computer programs and products, guest lecturers, reimburse students for pre-payments, conference registration, etc.) at the agency for the purpose of recertification.
- (c) All funds received from DOH must be placed in a separate line item or account within the organizations financial system. United States Generally Accepted Accounting Procedures (GAAP) must be strictly adhered to and audit trails must be obtainable for all NYS funds. These records are subject to audit by DOH and the NYS Office of the State Comptroller.
- (d) Any items that are purchased with NYS funds must be so labeled and a separate inventory showing all items must be maintained and made available to the Department. In the event that a sponsor closes, all items purchased with NYS funds may be required to be returned to NYS.
(12) ALS tuition funds are available to volunteers of BLS services if that service is in the process of seeking ALS status (e.g., not yet certified as an ALS service) if the certification of providers as AEMT is the only criterion not yet met for ALS designation. So that tuition reimbursement is approved, letters from the Chair of the Regional EMS Council and Regional Emergency Medical Advisory Committee (REMAC) indicating the service has notified them of intent to apply for ALS authorization and is capable of providing this level of care must be submitted to the DOH. Confirmation from the Regional DOH office of the service's ability to provide ALS once training is complete must also be provided.
Course Reimbursement Rates
Effective for all courses beginning on or after April 1, 2013, the following reimbursement schedule shall apply:
|Course Type||Reimbursement Rates||FDNY Rates||Practical Skills Exam Rates|
|CFR Original||$220||$110||$ 40|
|CFR Refresher||$100||$ 50||$ 45|
|EMT Original||$700||$350||$ 75|
|EMT Refresher||$335||$150||$ 90|
|*AEMT Original||$530||$260||$ 75|
|*AEMT Refresher||$400||$200||$ 90|
|CME Recertification Program|
|Until April 12, 2013|
|Rapid Refresher Program|
|Until April 12, 2013|
|Instructor Level Courses|
|*CLI||$ 90/Candidate||$ 85/Candidate||N/A|
|*CLI – Prescreening||$ 37.50/Candidate||$ 37.50/Candidate||N/A|
*The Course Sponsor may charge tuition in addition to NYS reimbursement. Per this Policy Statement, the sum of the tuition and NYS reimbursement may not exceed the amount charged for candidates for which the sponsor will not be receiving NYS reimbursement.
|Certification Level||Member Type||Agency Type||Funding Eligibility|
Please direct your questions about this Policy Statement to:BEMS Education and Certification Unit
NYS Department of Health
Bureau of Emergency Medical Services
875 Central Avenue
Albany, New York 12206
Issued and Authorized by:Lee Burns, Director
Bureau of Emergency Medical Services