ua Av Emergency Medical Transport Fee
GEMT Qhov Nruab Nrab Tus Nqi Lag Luam (ACR) Lub Vev Xaib Kev Ntsuam Xyuas
Txhua tus neeg muab kev pabcuam GEMT pej xeem thiab ntiag tug hauv California yuav tsum xa cov ntaub ntawv soj ntsuam Average Commercial Rate (ACR) rau lub sijhawm Lub Xya Hli 1, 2024, txog Lub Rau Hli 30, 2025, kom ua raws li cov cai tshiab ntawm CMS. Cov kev soj ntsuam uas ua tiav lawm yuav tsum xa mus rau DHCS thaum Lub Rau Hli 19, 2026.
Yog xav nkag mus rau qhov kev soj ntsuam ACR online thiab cov lus qhia ntxaws ntxaws, thov mus saib DHCS GEMT ACR Survey Website.
Keeb kwm
In accordance with Senate Bill (SB) 523 (Chapter 773, Statues of 2017), DHCS established the Ground Emergency Medical Transport (GEMT) Quality Assurance Fee (QAF) program to provide supplemental Medi-Cal payments to GEMT providers. Using data collected from GEMT providers, DHCS calculates an annual GEMT QAF rate that will be imposed on each emergency medical transport provided by each GEMT providers subject to QAF. The QAF collected will be used to increase reimbursement to GEMT providers by application of an add-on to the fee-for-services (FFS) fee schedule rate for the affected emergency medical transport billing codes.
Tus nqi ntxiv yog $220.80 thiab yuav muab rau kev thauj mus los ntawm Medi-Cal GEMT thaum muaj xwm txheej ceev nrog HCPCS cov lej A0427, A0429, A0433, A0225, thiab A0434.
Raws li tau piav qhia hauv qab no, QAF Tus Nqi rau FY 2025-26: yog $ 36.74.
Cov txheej txheem sau cov ntaub ntawv & Hnub kawg
GEMT cov chaw muab kev pabcuam yuav tsum tau xa cov ntaub ntawv qhia txog ntu ntu uas suav nrog cov hauv qab no:
Tag nrho cov kev thauj mus los kho mob thaum muaj xwm txheej ceev, raws li tau txhais hauv txoj cai lij choj, los ntawm hom neeg them nqi, suav nrog Medi-Cal FFS thiab Medi-Cal kev tswj hwm kev kho mob, Medicare, dual Medicare/Medi-Cal (Medi-Medi), thiab txhua hom neeg them nqi, rau txhua peb lub hlis twg hauv ib xyoos.
Cov ntaub ntawv thauj mus los txhua peb lub hlis yuav tsum xa los ntawm lub portal online hauv qab no rau hnub thib 45 tom qab hnub kawg ntawm peb lub hlis.
Cov nyiaj tau los tag nrho, raws li tau txhais hauv txoj cai lij choj, tau txais los ntawm kev muab kev thauj neeg mob thaum muaj xwm txheej ceev rau txhua Xyoo Nyiaj Txiag (FY).
Cov ntaub ntawv txog cov nyiaj tau los tag nrho yuav tsum xa los ntawm daim foos FY tshwj xeeb uas pom hauv qab no rau hnub lossis ua ntej hnub thib 45 tom qab hnub kawg ntawm lub xyoo nyiaj txiag hauv xeev.
Methodology
DHCS yuav siv cov ntaub ntawv sau los tsim QAF tus nqi txhua xyoo raws li hauv qab no:
Rau FY 2018-19, QAF tus nqi txhua xyoo yog xam los ntawm kev qhia txog tus kheej daim ntawv txais nyiaj tag nrho faib los ntawm tus kheej cov ntaub ntawv thauj mus los ntxiv rau Medi-Cal FFS thiab Managed Care cov ntaub ntawv thauj khoom.
Rau FY 2019-20, thiab txhua xyoo FY tom qab ntawd, tus nqi QAF txhua xyoo yuav tsum suav nrog tus lej, tus lej ntawm cov uas yog cov lej ntawm cov nqi them tag nrho cov nqi sib npaug los ntawm lub xeev qhov feem pua ntawm kev pab kho mob thiab ib feem ntawm cov thawj coj. tus nqi rau FY, thiab tus lej yog 90% ntawm tag nrho cov phiaj xwm kev thauj mus los thaum muaj xwm txheej ceev los ntawm txhua tus neeg muab kev pabcuam GEMT raug rau QAF.
DHCS yuav tshaj tawm tsab ntawv ceeb toom ntawm QAF tus nqi los ntawm Lub Rau Hli 15 ntawm txhua xyoo.
FY 2025-26
GEMT QAF Rate rau FY 2025-26, pib lub Xya hli ntuj 1, 2025
GEMT QAF Rate tau xam rau Xyoo Nyiaj Txiag (FY) 2025-26, raws li SB 523. QAF raug soj ntsuam ntawm txhua qhov tsim nyog kev thauj mus los kho mob xwm txheej ceev, tsis hais hom neeg them nyiaj. QAF tau hloov kho raws li cov ntaub ntawv thauj xa tuaj rau xyoo 2024 rau kev thauj thaum muaj xwm txheej ceev A0429, A0427, A0433, A0225, thiab A0434. QAF tus nqi pib rau xyoo FY 2025-26 yuav raug soj ntsuam ntawm kev thauj mus los kho mob xwm txheej ceev nrog cov hnub ua haujlwm pib txij Lub Ib Hlis 1, 2025, mus txog Lub Kaum Ob Hlis 31, 2025. DHCS npaj siab xa GEMT QAF SPA 25-0003 mus rau Lub Chaw rau Medicare thiab Medicaid Services (CMS) rau tsoomfwv pom zoo nyob rau lub quarter thib peb ntawm 2025.
• QAF tus nqi rau FY 2025-26 yog: $36.74
Tag Nrho Cov Ntaub Ntawv Tau Txais
On or before August 14, 2025, providers are required to submit data on gross receipts received for ground emergency medical transports between July 1, 2024, through June 30, 2025. The Gross Receipt Data Submission Form must be submitted to GEMTQAF@dhcs.ca.gov by August 14, 2025. Providers are to use the Gross Receipt Data Submission Form provided below:
Daim Ntawv Thov Daim Ntawv Qhia Tag Nrho Tag Nrho
PIB 2024-25
GEMT QAF SPA Daim Ntawv Pom Zoo thiab Them Nqi FY 2024-25:
Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo SPA 24-0025 los txuas ntxiv GEMT QAF Program rau FY 2024-25. Hauv qab no yog QAF lub sijhawm them nyiaj DHCS tsim los sau cov kev ntsuas QAF peb lub hlis twg, pib ntawm Lub Xya Hli 1, 2024, lub quarter nyiaj txiag ntawm lub xeev.
| QAF Assessment Due | QAF Them Nqi Hnub Kawg (Revised) | Lub Sijhawm Tshaj Tawm | Thauj Hnub Ua Haujlwm |
| Lub Xya hli ntuj 1, 2024 | Lub Peb Hlis 3, 2025 (Kho dua tshiab) |
Apr – Jun 2024 | Jan – Mar 2024 |
| Kaum Hli Ntuj 1, 2024 | Plaub Hlis Ntuj 1, 2025 (Kho dua tshiab) |
July – Sept 2024 | Apr – Jun 2024 |
| Lub Ib Hlis 1, 2025 | Tsib Hlis 1, 2025 (Kho dua tshiab) |
Oct – Dec 2024 | Jul – Sept 2024 |
| Plaub Hlis Ntuj 1, 2025 | Lub Rau Hli 2, 2025 (Kho Dua Tshiab) |
Jan – Mar 2025 | Oct – Dec 2024 |
PP-GEMT IGT Program
Raws li tsab cai Assembly Bill (AB) 1705 (Tshooj 544, Txoj Cai ntawm 2019), Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tsim kom muaj Public Provider Ground Emergency Medical Transportation (PP-GEMT) Intergovernmental Transfer (IGT) Program rau pej xeem tsim nyog. GEMT cov chaw muab kev pabcuam.
Cov kws kho mob tsim nyog koom nrog PP-GEMT IGT qhov kev pab cuam yog tias lawv ua tau raws li tag nrho cov hauv qab no:
- muab cov kev pabcuam GEMT rau Medi-Cal cov neeg tau txais txiaj ntsig
- tau cuv npe ua Medi-Cal tus kws kho mob rau lub sijhawm thov, thiab
- yog muaj lossis ua haujlwm los ntawm lub xeev, ib lub nroog, lub nroog, lub nroog thiab lub nroog, kev tiv thaiv hluav taws, cov cheeb tsam tshwj xeeb, cov cheeb tsam pabcuam hauv zej zog, cheeb tsam saib xyuas kev noj qab haus huv, lossis tsoomfwv cov pab pawg neeg Indian.
PP-GEMT IGT Qhov Kev Pabcuam muab kev nce ntxiv rau Medi-Cal tus nqi-rau-kev pabcuam tus nqi thauj khoom thaum muaj xwm txheej ceev uas tau them nrog cov lej hauv qab no: A0429, A0427, A0433, A0225, thiab A0434, rau cov neeg muab kev pabcuam tsim nyog.
Lub Chaw rau Medicare & Medicaid Services (CMS) tau pom zoo Lub Xeev Txoj Kev Hloov Kho (SPA) 22-0015 rau lub Kaum Ob Hlis 21, 2022 tsim PP-GEMT IGT Program. Pib txij Lub Ib Hlis 1, 2023, cov chaw muab kev pabcuam pej xeem raws li tau hais tseg hauv AB 1705 tsis tsim nyog koom nrog GEMT QAF program thiab tau hloov mus rau PP-GEMT IGT program tshiab. Cov neeg muab kev pabcuam pej xeem tsis raug tshuaj xyuas QAF yav tom ntej thiab tsis tsim nyog tau txais qhov txuas ntxiv los ntawm GEMT QAF program.
For more information, please visit the PP-GEMT IGT web page.
FY 2020-21
HCPCS Code A0434 Txoj Cai
Siv tau rau hnub ua haujlwm rau lossis tom qab Lub Yim Hli 1, 2020, HCPCS tus lej A0434 (Kev Thauj Mus Los Tshwj Xeeb) tuaj yeem them rau kev thauj mus los uas tsis yog xwm txheej ceev. Cov lus tshaj tawm txoj cai tau tshaj tawm rau ntawm Daim Ntawv Xov Xwm Kev Thauj Mus Los Kho Mob Lub Xya Hli 2020.
For transports occurring on or after August 1, 2020, only emergency medical transport services billed with HCPCS code A0434 are required to be reported for the GEMT QAF program, will be assessed the QAF, and will be eligible to receive the GEMT QAF add-on. Non-emergency transports billed with HCPCS code A0434 should not be reported for the GEMT QAF program. As instructed on page 12 of the DHCS Medi-Cal Provider Training 2018, all claims for emergency medical transport services should be billed with an “X” indicator on all emergency claim lines in Box 24C of claim form 1500. All non-emergency transports provided and billed under HCPCS code A0434 will not receive the GEMT QAF add-on.
Cov ntaub ntawv dav dav
Online Portal rau GEMT QAF Payments
Ib qho online GEMT QAF portal tau tsim los rau cov neeg muab kev pabcuam xa cov ntaub ntawv thauj mus los thiab suav cov QAF lub quarter thib peb. Ib daim ntawv xa nyiaj rau QAF cov nqi them rau txhua tus neeg muab kev pabcuam yuav raug tsim raws li cov ntaub ntawv thauj khoom xa los ntawm cov chaw muab kev pabcuam, thiab yuav suav nrog qhov txuas ncaj qha los them QAF los ntawm kev hloov pauv nyiaj hluav taws xob (EFT). Cov kws kho mob kuj muaj kev xaiv los luam cov ntawv xa nyiaj thiab xa lawv cov nyiaj QAF los ntawm kev xa ntawv.
To access the online portal and detailed instructions, please visit the DHCS QAF website.
Hu rau DHCS
Cov lus nug lossis cov lus pom tuaj yeem xa mus rau DHCS GEMT QAF email box: GEMTQAF@dhcs.ca.gov.