FAQs
Many automobile and homeowners' insurance policies provide coverage for EMS transports. We recommend that individuals review their insurance policies and coverages. The County's billing services company will bill health insurance first, followed by auto insurance and then any other insurance that may apply.
Yes. Send a copy of the current rabies certificate and a check for the license requested. Be sure to include your address so we can send your receipt and tag(s). Beginning on November 1, 2018, Lifetime Dog Licenses will be sold for a cost of $10.00 per dog.
Visit the Supreme Court Website.
When a puppy is four (4) months old it is required to have a Dog License.
Beginning August 1, 2010 Madison County will generate a bill each time EMS services, including ambulance transports, are provided to a patient by the staff of the County's Department of Emergency Medical Services ("MEMS"). Madison County has contracted with Ambulance Medical Billing (view the company's website at https://www.credit-bureau.com/amb/) to handle the billing process. Following receipt of EMS services, a patient will receive correspondence from Ambulance Medical Billing asking for confirmation of residence address and insurance coverage. Once information about a patient's insurance coverage has been verified, a claim form will be forwarded to his insurance provider, Medicare, or Medicaid as may be applicable. Patients themselves will not be billed until all insurance options have been exhausted.
County staff/volunteers and staff of the County's billing services contractor (Ambulance Medical Billing) will adhere to the patient privacy requirements of the Health Insurance Portability and Accountability Act (HIPAA).
No. Revenue recovered as a result of this program goes into the County's General Fund. Although the County's Volunteer Rescue Squad receives financial support from the County's General Fund each year, a significant portion of the volunteer agency's costs must be covered by donations received from the community.
No. All patients will be treated and transported and no person will be denied service due to any delinquent accounts. Emergency service providers who respond to your call will have no knowledge of who has paid and who has not paid.
No. Fees for EMS services will be billed only if you are transported by ambulance.
Madison County will charge a fee of $13.00 per mile for each ambulance transport and a fee of $425 to $775 for EMS services provided in connection with the transport, depending on the level of EMS care required by the patient. There are three levels of EMS care: (1) Basic Life Support (BLS); (2) Advanced Life Support-1 (ALS1); and (3) Advanced Life Support-2 (ALS2). Madison County's fees are established by resolution of the Board of Supervisors, consistent with rates allowed by the Center for Medicare and Medicaid Services (CMS) for our geographic region.
Visit of Jury Duty Information Page.
You must present a certificate of vaccination, properly executed and signed by the licensed veterinarian performing the vaccination, specifying the date of the vaccination, the date required for revaccination, a brief description of the dog and the name and address of the animal's owner.
Beginning November 1, 2018, Lifetime Dog Licenses will be sold at a cost of $10.00 per dog.
No one will ever be denied treatment or transport based on his or her ability to pay. If a patient receives a bill that he/she is unable to pay, the patient should contact the billing services company to apply for a financial hardship waiver. A financial hardship application form will be sent out by the billing services company, upon request by an individual.
Do not hang up. Stay on the line and let the dispatcher know that it was a mistake. When someone hangs up the dispatcher does not know what the circumstances are at the occurring location. Law enforcement units will be dispatched on all 911 hang ups, misdials and open lines. By staying on the line and letting the dispatcher know that the call was a mistake allows that information to be relayed to the responders, giving them accurate information about the 911 call.
A financial hardship waiver will be approved if an applicant demonstrates that his or her household income, based on the applicable family size, is at or below 300% of current federal poverty guidelines.
Ambulance Medical Billing will have a customer service representative available to address billing and insurance issues. The company's toll-free number number will appear on all of their correspondence.
A County resident will be billed only to the extent of his or her Medicare, Medicaid or other health insurance coverage. Any remaining cost-sharing amounts (e.g., co-payments, deductibles) will be waived for County residents. If you are a County resident who is not covered by Medicare, Medicaid or any other health insurance coverage, charges for EMS services will be waived. If you are a non-resident, then your insurance company will be billed and you will subsequently receive a bill for applicable cost-sharing amounts remaining after insurance claims have been processed. Any non-resident who is without any form of insurance coverage will be billed for the entire amount of the EMS services delivered. If a patient who receives a bill is unable to pay, then the patient may apply for a financial hardship waiver.
Dispatchers have mapping software that automatically plots a point when an E-911 call is received; the dispatcher will confirm this information with the caller. This allows dispatchers to help responders find your location. A well posted E-911 address will do a great deal to ensure that responders don't spend an unnecessary amount of time in getting to your home or business.
