Page 419 - Microsoft Word - FY 2021 tax info sheet

FY 2021‐22 KELLER FEE SCHEDULE

Incident Reports No charge
(Pursuant to the Texas Administrative Code associated with copies of public
information)

Finger Printing $10 per person

Solicitors License Charitable Solicitation
$35 for the first person
$20 for each additional person
$65 background check per person

Religious − No permit fee
$65 background check per person

Itinerant Merchants and Publication Sales and Solicitation
$50 for the first person
$20 for each additional person
$65 background check per person

Emergency Medical Services The rate structure for pricing shall be a set fee of $1,750, plus a mileage
charge of $23 per loaded transport mile of ambulance service. The City
Manager shall be authorized to adjust the set fee structure which shall
conform to the reasonable, customary, and usual charges associated with
the provisions of health care.
Emergency Medical Services Insurance payments, whether private or governmental (Medicare/Medicaid)
(Cont.) shall be accepted as payment in full for ambulance service for Keller
residents and non‐resident employees suffering a non‐work related event
while on duty.

Keller residents that have no medical insurance or if payment is not received
from the patient’s insurance plan shall be responsible for a maximum fee for
ambulance service which shall be the Federal reimbursement rate in effect
at the time of service or $300, whichever is greater.

Patients who receive ALS treatment by Keller Fire‐Rescue but are not
transported by Keller Fire‐Rescue or a mutual‐aid ambulance shall be
responsible for the cost of the treatment or a fee not to exceed $200.
Patients treated and transported by Keller Fire‐Rescue that are not residents
of Keller shall be held financially responsible for the outstanding balance for
ambulance service not paid by insurance coverage. For Medicare/Medicaid
patients this fee responsibility will be up to the Federal reimbursement rate
allowable at time of service.

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