← Back to list
Government Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) – 2027 Participation
Act
by Oct 1, 2026
Effective date
Jan 1, 2027
Identified
Jul 29, 2026
Summary
Government-owned ambulance providers in Illinois must submit updated cost reports and signed Intergovernmental Agreements (IGAs) by October 1, 2026 to participate in the Ground Emergency Medical Transportation (GEMT) supplemental payment program for calendar year 2027. Even providers currently participating in 2026 must resubmit; new participants must include signed IGAs from authorized local government officials.
Get alerts when payers change rules like this one
We check Illinois Medicaid - HFS and other payers every day and email you when a change matches your specialty and state.
Get Illinois Medicaid - HFS alertsPolicy Monitoring is free. No card required.
What to do
by Oct 1, 2026 · 4 steps
01All government-owned ambulance transportation providers must complete and submit the cost report form (available on Department's Cost Reports webpage) to HFS.GEMT@illinois.gov.
02New 2027 participants must also obtain a signed Intergovernmental Agreement (IGA) from the authorized officer (Mayor, Village/Town Administrator, or Fire Protection District head) and submit both documents as Excel file and PDF with signatures.
03Providers should verify their authorized signatory is prepared to execute the IGA if this is their first year participating.
04Submission deadline is October 1, 2026.
If missed: Failure to submit by deadline will result in ineligibility for GEMT supplemental payments in 2027, even if a provider currently receives them in 2026.
Original notice
Government Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) – 2027 Participation
hfs.illinois.gov · Always check the source before changing claims.
Related changes
See all Illinois Medicaid - HFS changes →Publicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsLowNo effective date · Provider NoticePublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsLowNo effective date · Provider NoticePublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsLowEffective Jan 1, 2021 · Provider NoticePublicly Owned Transportation Providers - Ground Emergency Medical Transportation (GEMT) Webinar and Cost Report Due Date ExtensionLowEffective Oct 15, 2020 · Provider NoticeBrowse every Illinois Medicaid - HFS change in the policy list