Ems Management & Consultants Inc
03/14/2025 | Press release | Archived content
Changes to Texas' Ambulance GEMT Program Dramatically Impacted Federal Reimbursements
(TEXAS) March 11, 2025 - By Matt Zavadsky -
There have been significant conversations about the future of Ground Emergency Medical Transport (GEMT) programs after the Centers for Medicare and Medicaid (CMS) and the Office of the Inspector General (OIG) announced audits of GEMT program in 2023. These actions followed a memo from CMS to state Medicaid Directors in 2022.
The recent changes to GEMT reimbursement allocations in Texas may provide valuable insight into the potential direction of GEMT programs in states that currently utilize these programs, along with those with pending applications for Medicaid State Plan Amendments with CMS.
PWW Advisory Group conducted an in-depth analysis of the Texas GEMT program changes, examining the specific changes implemented, the impact of revised cost and revenue reporting methods on Federal Settlement Amounts and GEMT fund distributions. PWW|AG also analyzed how these changes affect reimbursements to those participating agencies.
Could this new model be an example of changes coming to all GEMT programs?
Read the full analysis here:
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