The California Department of Health Care Services (DHCS) issued All Plan Letter (APL) 20-002 – Non-contract Ground Emergency Medical Transport (GEMT) payment obligations – on January 31, 2020. The APL specifies that the GEMT Quality Assurance Fee program, legislated by the state, requires that a reimbursement add-on amount be paid for GEMT services provided on and after July 1, 2019.

In accordance with APL 20-002, the following non-contracted GEMT services now qualify for an additional payment.

 
Service Code
Description
 

A0429

A0427

A0433

A0434

A0225

Basic Life Support, Emergency

Advanced Life Support, Level 1, Emergency

Advanced Life Support, Level 2

Specialty Care Transport

Neonatal Emergency Transport

 

What provider types are eligible for this supplemental payment? 

Non-contracted GEMT providers are eligible for the supplemental payment if they have provided qualifying services on and after July 1, 2019.
 

What is the effective period for this incentive/supplemental payment? 

APL 20-002 applies to services provided by non-contracted GEMT providers on and after July 1, 2019. These supplemental payments will continue to be paid on an ongoing basis until the requirement is amended or changed by DHCS.

 

Contact us

  Email:GEMTinquiries@blueshieldca.com