GEMT Programs

PP-GEMT IGT
 (content updated 6/17/22)
Regarding proposed State Plan Amendment (SPA) by the Department of Health Care Services (DHCS): the proposed SPA 22-0015 would establish, effective January 1, 2023, the Public Provider Ground Emergency Medical Transportation Intergovernmental Transfer (PP-GEMT IGT) Program to provide an add-on increase to the Medi-Cal fee-for-service fee schedule rates for eligible GEMT services when provided by qualified public providers (from SPA 22-0015: 5/2/22). PP-GEMT IGT questions can be sent to: AB1705@dhcs.ca.gov. Effective January 1, 2023, public providers of GEMT services will no longer be included in the GEMT QAF program and the GEMT CPE program will cease to operate. The new PP-GEMT IGT Program will replace the GEMT CPE and GEMT QAF.

LATEST UPDATES
(6/29/22): "In order to keep eligible providers informed of developments to implementation of the program DHCS is working to develop a comprehensive Listserv email distribution. Please email AB1705@dhcs.ca.gov if your entity is interested in information relaed to the PP-GEMT IGT program for Calendar Year 2023."

(6/16/22): The DHCS is holding an informational training for the Public Provider Ground Emergency Medical Transportation (PP-GEMT) Intergovernmental Transfer (IGT) Program: July 12th from 1:30 pm to 3:00 pm. Join from the
webinar link.

LINKS
PP-GEMT IGT Website
Draft Policy Letter
Draft Letter of Intent

GEMT Quality Assurance Fee (QAF) (content updated 6/13/22)
All California GEMT providers submitted data to the DHCS to calculate an annual GEMT QAF rate to be imposed on each emergency medical transport provided by each provider subject to the QAF. The associate QAF collected was used to increase reimbursemet to GEMT provider by application of an add-on to the fee-for-service fee schedule rate for the affected emergency medical transport billing codes (GEMT QAF website). GEMT QAF questions can be sent to: GEMTQAF@dhcs.ca.gov. Effective Januray 1, 2023, public providers of GEMT services will no longer be included in the GEMT QAF program.

LATEST UPDATES

LINKS
GEMT QAF Frequently Asked Questions

GEMT Certified Public Expenditure (
CPE) (content updated 6/13/22)
In 2011, the State of California authorized the Ground Emergency Medical Transportation Services supplemental reimbursement program (GEMT CPE). This voluntary Certified Public Expenditure (CPE) based program provided additional funding to eligible governmental entities that provided GEMT services to Medi-Cal beneficiaries (Medi-Cal GEMT Supplemental Reimbursement Program). GEMT CPE questions can be sent to: GEMT@dhcs.ca.gov. Effective January 1, 2023, the GEMT CPE program will cease to operate.

LATEST UPDATES


LINKS
GEMT Cost Report Instructions
GEMT Cost Report
PP-GEMT IGT (new public provider program: January 1, 2023)

GEMT QAF (phasing out public providers: January 1, 2023)

GEMT CPE (program ceasing operations: January 1, 2023)