Recognizing a need to make accreditation affordable for agencies of all sizes, CAAS instituted a three-tier fee schedule in 1997. The accreditation fee for agencies doing less than 5,000 medical transports per year is only $3,500 for a three-year accreditation. There are no interim fees to pay. Amortized over three years, the fee amounts to a little over $1,000 per year of accreditation. Mid-sized agencies pay a three-year accreditation fee of $7,500 for medical transports of between 5,000 and 20,000. The largest agencies, carrying more than 20,000 medical transports per year, pay $10,000 for their three-year accreditation. The agency also pays on-site reviewer expenses. These usually cost between $5,000 and $6,000 for a three-member team.

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