Non contract GEMT supplemental payments
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.
|A0429||Basic Life Support, Emergency|
|A0427||Advanced Life Support, Level 1, Emergency|
|A0433||Advanced Life Support, Level 2|
|A0434||Specialty Care Transport|
|A0225||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.
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All Plan Letter summaries
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