NPI Rate 0 Registry
Taya Foundation — National EMTALA Certification Authority
EMTALA Certification is the first gate.
Every NPI starts at Rate 0. Adoption moves it to Rate 10.
National NPI Rate Register — Rate 0 / Rate 10
Every NPI on the national EMTALA ledger is placed at Rate 0 — Must Avoid by default. EMTALA Certification is the first gate: only completed adoption — EMTALA Transportation and Internal Policies Standards adopted — moves that NPI to Rate 10. No other certification can lift an institution off Rate 0.
Rate 0 — Definition and Effect
Rate 0 means the institution has not adopted EMTALA Certification and has not demonstrated a lawful, EMTALA-compliant transportation and discharge methodology.
Every other certification the institution holds — Joint Commission, DNV, HFAP, CARF, URAC and all others — is void for EMTALA purposes while the institution stands at Rate 0. Those accreditations may remain on record, but they are non-defensive: they cannot establish federal EMTALA compliance, emergency transport lawfulness, or Safe Harbor protection.
EMTALA Certification is the first gate. It is the foundation every healthcare institution must adopt before any other certification carries weight. Nothing on this registry is a penalty — it is a public record of which institutions have entered the EMTALA-aligned standard of care, and which have not.
Legal notice: EMTALA Certification is the primary federal-alignment requirement for transportation, discharge and emergency routing. An institution at Rate 0 cannot rely on any other accreditation to establish EMTALA compliance or Safe Harbor protection.
Avoid Rate 0. Adoption removes the institution from this registry. Non-adoption remains published here as a public resource.
Rate 0 Treasury Gate Control Rule
The Taya Foundation — Standing Rate 0 Rule
"No institution may be offered low standards but charge at high standards cost."
Low-standard delivery billed at high-standard rates is the violation this gate exists to hold.
High-Standard Billed Rate
$1,250
Routine ambulance billing basis
Certified Standard Rate
$35
LMT-EXPRESS certified transport basis
Gate Control
35.7
$1,250 ÷ $35 = 35.7
Rate 0 — Gate Held
Medicaid and Medicare approval remains routine — the approval is not the control point. The reimbursement is controlled at the Treasury gate: payment is based automatically on this gate control rule at 35.7, not on the billed high-standard amount, and the differential is held at the gate until adoption is completed.
Rate 10 — Gate Lifted
Completed adoption — EMTALA Transportation and Internal Policies Standards adopted — lifts the gate. Reimbursement is released on the certified standard basis and the institution is held to the standard it charges for.
| Control Point | Rate 0 — Must Avoid | Rate 10 — Adopted |
|---|---|---|
| Reimbursement basis | Treasury gate control at 35.7× $1,250 ÷ $35 | Certified standard basis — full release |
| Medicaid / Medicare approval | Routine — approval is automatic | Routine — approval is automatic |
| High-standard charge while on Rate 0 | Held at the gate | Not applicable |
The gate is the payment rule, not a new approval step: institutions are paid on the standard they actually deliver. Rate 0 stands until adoption is filed — at that point the NPI moves to Rate 10 and the gate is lifted.
Complete Adoption to Lift the GateNational NPI Rate Register
0 NPIs listed · 0 at Rate 0 — Must Avoid · 0 moved to Rate 10
No NPI records on the national EMTALA ledger yet.
Every NPI placed on the ledger begins at Rate 0 until adoption is completed.
Rate movement: every NPI stands at Rate 0 — Must Avoid until its adoption is completed. When EMTALA Transportation and Internal Policies Standards are adopted, that NPI moves to Rate 10 and remains on the register with its rate.
Adopt EMTALA CertificationCheck Your Institution's Rate
Enter your NPI to see the rate you currently hold — and whether Rate 0 must be avoided.
Public transparency instrument of The Taya Foundation. Rate 0 status is derived from the National EMTALA Certification ledger and updates as adoption records are filed.
