GEMT Cost Reporting

GEMT cost reporting for Iowa's publicly operated ambulance services.

Helping publicly operated ambulance services capture every Medicaid supplemental payment dollar they're entitled to, without burning weeks of staff time on cost report schedules.

Serves Iowa Fire Chiefs EMS Directors City Administrators County Supervisors Ambulance Service Managers

What's included.

GEMT cost reporting handled end-to-end — by the same person from intake to delivery.

01

GEMT Cost Reporting & Supporting Documentation

  • Signature-ready completion of cost report
  • Development of required supporting documentation, including: depreciated asset report, square footage allocations, hours log report, expense & revenue summaries, indirect cost rate proposal, and IGT funding source certification
  • Submission of completed materials to Iowa Medicaid
02

Preparation of Enrollment Documents

Delivering signature-ready annual enrollment documents and sample resolutions:

  • Provider Participation Agreement
  • Intergovernmental Transfer Agreements
03

Response to Audit Questions

Handling and coordination of responses to requests for additional information and audit questions:

  • Additional information requests
  • Draft adjusted cost report & representation letter
  • Final adjusted cost report

Why Roe

Why Iowa departments work with Roe Consulting.

Three things every department gets — and most national firms can't deliver from out of state.

01

Local.

Based in Clive, Iowa. Drives to your station for the first meeting. Knows the Iowa Medicaid staff by name.

02

Personal.

One consultant, on the work. The phone number on this site rings to him. No account-manager layer between you and the person doing your cost report.

03

Experienced.

Eight years of GEMT cost-reporting experience by someone who knows Iowa municipal budgets and knows what questions to ask to identify all eligible expenses.

§ 03 — GEMT, briefly

Iowa's GEMT program, briefly.

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.

Read more about GEMT services →

Get started

Have a GEMT cost report due?

Call 515-238-7012 or send a note. Rick will get back to you within one business day.