Fiscal Court approves optional ambulance Medicaid supplemental payment program

Dec 4, 2025

Nelson County approved participation in an optional federally funded ambulance supplemental payment program designed to calculate additional Medicaid payments based on actual costs; a third-party administrator would receive 10% of any additional payments.

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Nelson County Fiscal Court voted on Dec. 2 to participate in an optional ambulance supplemental payment program that aims to increase Medicaid payments to county emergency medical services by basing supplemental payments on actual costs such as vehicle depreciation, salaries and capital equipment.

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