The Ground Emergency Medical Transportation (GEMT) program is a Medicaid supplemental reimbursement program that helps publicly owned or operated ambulance services recover the true cost of providing emergency ground transports. It fills the gap between what Medicaid pays and what it actually costs to run an ambulance service — a gap that is often substantial.
Participation is voluntary, but for a qualifying service the program returns meaningful revenue. The catch: it requires a detailed annual cost report, certified and submitted to Iowa Medicaid by November 30 each year. Roe Consulting handles that report end-to-end.
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