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EMS District: GEMT reimbursement talks continue; Mindbase peer-support and fleet planning discussed
Summary
Emergency Medical Services staff told the Ada County EMS District board that Ground Emergency Medical Transportation (GEMT) reimbursement discussions are ongoing, the district is launching a Mindbase peer-support tool tied to CAD/chart systems, and the fleet currently numbers 28 ambulances with 2–3 year lead times for new vehicles.
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At an April 8 meeting of the Ada County Emergency Medical Services District (the board convened as the EMS District), an EMS official updated commissioners on reimbursement negotiations, a new peer-support tool and fleet status.
The EMS official said talks around GEMT (Ground Emergency Medical Transportation) reimbursement are underway but that the district cannot predict timing or the final scope of any change to reimbursement formulas. “I cannot be sure of the speed at which it is moving, but we understand discussions are happening and that there may be some inclusion of non-transport costs in the calculation that goes into reimbursement,” the official said.
The EMS official also described a new service called Mindbase that will interact with the district’s charting software and computer-aided dispatch to identify certain call types — particularly critical incidents — so the peer support team can tailor follow-up and mental-health check-ins for responders.
When asked about fleet size, staff said the district currently operates 28 ambulances. Staff warned that lead times for new ambulances are long — roughly two to three years — and that vehicle procurement and replacement require multi-year planning.
The EMS District approved its claims journal and minutes for the period on the same day; the approvals were recorded as unanimous voice votes. No formal decisions about fleet procurement or reimbursement formulas were made at the meeting; the updates were informational.

