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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.
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
The Oregon Health Authority proposed updating the calculation method for the fee-for-service ground emergency medical transportation (GEMT) supplemental payment paid to public providers, meaning governments and federally recognized tribes. The new method would use standard add-on payments of $888.00 for procedure code A0429 and $842.00 for procedure code A0427 to supplement fee schedule rates. The current method is a cost report process, and the estimated annual Total Fund amount for this State Plan Amendment is $2,618,000.
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What to do
Action · 1 steps
01Comments on this proposal were due by 5 p.m. Friday, July 12, 2024, a date that has passed, so check the current status of this State Plan Amendment before relying on the proposed add-on payments of $888.00 for procedure code A0429 and $842.00 for procedure code A0427.
Codes mentioned
A0429A0427
Original notice
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.
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →Provider AnnouncementHighEffective Mar 18, 2020 · PlanReminder: Ambulance transport and reimbursement policies during the COVID-19 emergencyMediumEffective Jul 30, 2021 · PlanNotice of intent – OHA will amend the Medicaid State Plan to continue ambulance “treat in place” rates after the COVID-19 Public Health Emergency ends May 11, 2023MediumEffective May 11, 2023 · Public noticeNotice of intent – OHA will amend the Medicaid State Plan to revise the rate method for public ground emergency medical transportation supplemental paymentsMediumNo effective date · Public noticeBrowse every Oregon Health Plan change in the policy list