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Notice of intent – OHA will amend the Medicaid State Plan to revise the rate method for public ground emergency medical transportation supplemental payments
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Oregon will return public Ground Emergency Medical Transportation (GEMT) supplemental payments to a cost-based method, replacing the add-on rate adopted in 2024. The change does not alter the base rate for public GEMT providers. OHA estimates the Federal Fund cost of this change at $1,602,660 for a 12-month period.
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What to do
Action · 5 steps
01Billing team at each public GEMT provider must submit CMS-approved cost reports to OHA no later than five months after the close of the state fiscal year, unless OHA has granted a written extension.
02Supporting documentation for the cost report must be provided, and records must be kept readily retrievable to fully disclose reimbursement amounts.
03Each provider's per-transport cost rate is its total net allowable direct and indirect costs divided by its total medical transports for the service period.
04Dry runs are covered services, and their costs are included in total allowable costs and counted as allowable medical transports.
05A provider that is overpaid must return the overpayment to OHA.
Original notice
Notice of intent – OHA will amend the Medicaid State Plan to revise the rate method for public ground emergency medical transportation supplemental payments
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →Notice of intent — OHA proposes to update the calculation method for the fee-for-service ground emergency medical transportation (GEMT) supplemental payment for public emergency service providers in the Medicaid State Plan.MediumNo effective date · Public noticeBrowse every Oregon Health Plan change in the policy list