What we do

Ground Emergency Medical Transportation  

Myers & Stauffer helps state Medicaid agencies design, implement, and administer Ground Emergency Medical Transportation programs that support compliant, cost-based supplemental Medicaid payments for eligible emergency transportation providers. Our team provides expertise in cost reporting, payment calculation, federal compliance, auditing, and financial oversight to help agencies build accurate, sustainable reimbursement programs.

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Supporting Cost-Based Supplemental Payment Programs for Emergency Transportation 

Ground emergency medical transportation (GEMT) programs allow eligible providers, typically publicly operated ambulance providers, to receive supplemental Medicaid payments based on allowable costs. These programs are designed to help align reimbursement with the actual cost of providing emergency transportation services. 

GEMT programs require detailed cost reporting, adherence to federal requirements, and ongoing financial oversight. Myers & Stauffer supports state Medicaid agencies in developing, implementing, and administering GEMT programs that are compliant, accurate, and sustainable. 

Comprehensive GEMT Consulting Services

From program development through ongoing financial oversight, Myers & Stauffer provides end-to-end GEMT consulting services to help state Medicaid agencies administer compliant, accurate, and sustainable cost-based supplemental payment programs.

Compliance & Federal Requirements 

GEMT programs are subject to strict federal guidelines related to provider eligibility, cost allowability, and documentation. 

We assist agencies with: 

  • Alignment with the Centers for Medicare & Medicaid Services (CMS) requirements and guidance. 
  • Development of policies and procedures to support compliance. 
  • Documentation review and audit support. 
  • Preparation for federal review and oversight. 
Financial Analysis & 
Program Oversight 

We provide ongoing financial and operational insight to support effective GEMT program management. 

Our services include: 

  • Analysis of cost and utilization trends. 
  • Evaluation of program sustainability and fiscal impact. 
  • Identification of risks related to cost reporting and payment accuracy. 
  • Support for program monitoring and reporting. 
Auditing & Allowable Cost Determination 

Auditing cost reports is the foundation of GEMT programs and requires careful definition and validation of allowable costs. 

We support agencies through: 

  • Development and implementation of cost reporting tools and templates. 
  • Guidance on allowable cost identification and allocation methodologies. 
  • Review and validation of provider-submitted cost data. 
  • Standardization of reporting processes across participating providers. 

Informed by Broader Medicaid Financing Expertise 

Our GEMT work is part of a broader approach to Medicaid financing and supplemental payment programs, including upper payment limit (UPL), disproportionate share hospital (DSH), and provider reimbursement. 

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The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Tim Guerrant, CPA
Member

Email: tguerrant@mslc.com
Phone Number: 317-815-2935

Bob Hicks, CPA
Member

Email: bhicks@mslc.com
Phone Number: 816-957-6220

In the Words of our Clients…

Myers & Stauffer is a trusted nationwide partner that brings relevant knowledge and expertise to assist with making data- informed decisions. They readily share what has worked well or hasn’t worked well in other states. Very much appreciate the partnership!”

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