What is the Public Emergency Medical Services (EMS) Supplemental Payment?
The Public EMS Supplemental Payment is an amendment to the Colorado State Plan, effective January 1, 2018, that allows eligible EMS providers to receive an annual supplemental payment for the uncompensated costs incurred by providing ground or air emergency medical transportation services to Medicaid beneficiaries.
As defined by the Colorado State Plan, a qualified provider must meet the following criteria:
- Be enrolled as a Medicaid provider for the period being claimed on their annual cost report and
- Provide ground or air emergency medical transport services to Medicaid enrollees and
- Be an organization owned or operated by the state, city, county, fire protection district, community services district, health care district, federally recognized Indian tribe or any unit of government as defined in 42 C.F.R. Sec. 433.50
Who should apply?
Any public EMS provider that meets the Qualified Provider criteria. Interested providers are required to complete and submit an annual Participation Form to the Department.
How is the payment allocated?
EMS providers will complete an annual, web-based cost report that will determine total Medicaid allowable costs, as well as the costs not yet reimbursed through Medicaid billing. These uncompensated costs will then be allocated to the provider.
Providers will receive access to the cost report after submitting a participation form. This ACR Portal User Guide is designed to assist providers with completing the cost report.
The Emergency Medical Services supplemental payments are made in September of the next year following the end of the previous fiscal year.
Example: The payment for the time period July 1, 2018 through June 30, 2019 was made in September 2020.
This year's payment will be made in September 2021 for the fiscal year ending June 30, 2020.