The Understanding and Responding to the CMS Proposed GEMT Rule Toolkit helps EMS agencies navigate a proposed CMS rule that could significantly reshape Ground Emergency Medical Transportation (GEMT) reimbursement and Medicaid supplemental payment programs. Developed by PWW Advisory Group, this resource explains the proposed changes and examines their potential impact on provider-specific payment limits, State Plan Amendments (SPAs), and long-term EMS funding.

The toolkit includes policy summaries, state-by-state GEMT program information, advocacy resources, talking points, and sample comment letters to help EMS executives, finance leaders, state associations, and policymakers understand the proposal, evaluate potential risks, and respond effectively to the evolving Medicaid reimbursement landscape.