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MedicaidReimbursementMedium impact

23-998 Expect Increased Reimbursement for Public Providers of Ground Emergency Medical Transportation

Health Net·CA · Emergency Medicine·Provider News
Effective date
Sep 15, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Public providers of ground emergency medical transportation are being transitioned from the GEMT QAF program to the PP-GEMT program, which is expected to result in increased reimbursement rates. This change affects ancillary providers serving Medi-Cal patients in specific California counties.

Action Required

Action needed
Immediately: Billing teams for ground emergency medical transportation providers should download and review the Provider Update PDF from HealthNet California to understand the transition from GEMT QAF to PP-GEMT program. Update billing procedures and systems to align with new PP-GEMT program requirements for Medi-Cal patients in affected counties.