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EMS reports Medicare payments held during federal shutdown; county expects back pay when federal disbursements resume

Bedford County Committee · October 29, 2025
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Summary

EMS staff said Medicare reimbursements and supplemental payments were being held during a government shutdown and will be paid retroactively once federal disbursements resume, potentially affecting EMS cash flow in the short term.

The EMS representative reported that federal holdbacks tied to a government shutdown have affected Medicare payments and certain supplemental "kicker" payments that augment Medicare reimbursements. "They have started holding our Medicare payments and some of our kicker payments that go on top of that," the EMS representative said. Staff said the payments will be paid as back pay once federal disbursements resume.

The committee did not take formal action; staff said they will monitor federal payment status and return with updates as needed.