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Emergency Medical Services - Funding Assistance Program
(EMS-FAP)

History of the Program

The 1989 Wisconsin Act 102 became law on December 20, 1989. This law provided funding to certain ambulance services that provide first-in 9-1-1 patient transport ambulance response to a particular geographic area.   The original formula has been modified over the years.  The current annual allocation is authorized by State Statute 256.12(4).

Funds are now disseminated via a plan approved as part of the current budget bill.  This consists of a two part formula payment on behalf of each transporting ambulance service and includes a base sum plus a factor based on run volume, service area, population, and EMT roster size.

Per 256.12(4), funds allocated under this program shall "supplement existing budgeted monies of or provided to an ambulance service provider and may not be used to replace, decrease or release for alternative purposes the existing budgeted monies of or provided to the ambulance service provider".  In short, EMS-FAP dollars cannot be used to reduce existing EMS funding. The statute also allows that EMS-FAP funding can be used for the purchase of ambulance vehicles, vehicle equipment and emergency medical service non-disposable supplies and equipment as well as emergency medical training for ambulance service personnel. 

Application for Funding

Each year, the ambulance service provider is asked to complete an application form.  The application timeline process is as follows:

  • Application materials will be available to EMS service directors in E-Licensing. The application is located under "New Applications".
  • Applications are due by 5:00 pm, May 15, 2014.
  • Any incomplete applications received after May 15, 2014 at 5:00 pm will be denied.
  • Disbursement will be made to the services no later than August 31, 2014.
  • Expenditure reports for the previous state fiscal year should be submitted to our office with the current year's application.

Accountability

The EMS Section is tasked with accountability for the distribution and use of the FAP money.  Funds cannot be used to supplant existing budgets and that the funds are to be used to support and improve the ambulance service.

The expense reporting period includes the previous FULL state fiscal year. For SFY 2015, the expense report submitted should include SFY 2013 (July 1, 2012 to June 30, 2013). 

Part of our statutory and fiscal responsibility requires that we review and approve expenses. In the past we have found some questionable purchases. Please review the updated expense form for clarification of allowable expenses. 

Examples of appropriate expenditures would include:  initial and/or refresher training expenses, a new ambulance, ambulance equipment or defibrillators, mileage and/or stipend for attending EMS training, training officer salary, contractual training on various subjects, computers and computer software purchased for training purposes, various pieces of hard/durable medical equipment to be placed on the ambulance, etc.  Any of these items are appropriate as are many others, as long as the funds are not used to fund expenses that are already included in your normal operating budget.  

EMS-FAP funds should not be used to pay for everyday maintenance, but major unexpected repairs and unexpected vehicle and equipment replacements may be appropriate.   Examples of other inappropriate expenditures would be the purchase of medical supplies for restocking the ambulance, purchase of fire trucks and fire supplies, banquet dinner and bar bills, gifts, etc.

If you have a doubt about an appropriate expenditure, contact the EMS-FAP program coordinator for a determination.

Payee Information

As part of the application, the ambulance service provider is asked to designate their "type of service".  Choices include: municipal/public agency, non-stock non-profit corporation, private for-profit corporation, and other. State accounting policies mandate that checks for a public agency be paid to the treasurer of a municipality.  (Checks for ambulance service providers that are public agencies are made payable to the designated municipality.)  Wisconsin Statute 256.12 mandates that allocations to private-for-profit ambulance services be paid to the contracting municipality.  Checks for ambulance service providers that are for-profit services are also made payable to the designated municipality.  If the ambulance service is organized as a non-profit corporation under chapter 181 Wis. Stats., the check is made payable to the ambulance service.

Municipalities are given specific instructions with each check on what the EMS-FAP funds are to be used for.  The municipality can chose to: 1) turn over the check to the ambulance service; 2) run the check through its books and issue a new check to the ambulance service; or 3) keep the money and records of the money and pay the ambulance service as it presents invoices/paid receipts for appropriate expenditures.  In any case, the money must be allocated to the ambulance service provider. 

For further information, please contact the EMS-FAP program coordinator at (608) 261-9306 or via email at Paul.Wittkamp@wisconsin.gov.

Current EMS-FAP Documents

 

Last Revised: October 02, 2014