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CMS Proposes Caps on GEMT Payments at the Medicare Ambulance Fee Schedule Amounts

by EMS|MC | May 21, 2026

CMS has proposed a policy that could significantly reshape the future of Ground Emergency Medical Transportation (GEMT) reimbursement by capping supplemental Medicaid payments at Medicare Ambulance Fee Schedule amounts. In this PWW|AG article, the team examines the proposed rule, its potential impact on GEMT financing, state plan amendments, intergovernmental transfers, and long-term reimbursement strategies for public EMS agencies. Learn what this proposal could mean for your organization's financial sustainability and why EMS leaders should begin evaluating its implications now while the rule remains under review.

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