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Commission signs adjusted FY25-26 GEMT representation letter after audit adjustments

Cole County Commission · June 23, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The Commission approved and signed an adjusted FY25-26 GEMT representation letter reflecting a downward audit adjustment; staff said about 200 transports were reclassified into managed care, reducing the fee-for-service amount. The transcript includes unclear numeric strings for transfer and recoupment amounts; those are quoted as spoken.

The Cole County Commission approved and signed an adjusted FY25-26 GEMT (Ground Emergency Medical Transport) representation letter on June 23 after audit adjustments reduced the county’s fee-for-service amount.

A presenter described the adjustment as downward and said that roughly 200 transports were shifted into the managed-care bucket during the audit. The presenter stated the county will need to transfer “42,553.42 cents to Missouri GEMT” (transcript text as spoken) and said the county will receive an amount recorded in the transcript as “123 dollars 123 17 06 back.” The presenter characterized this as an adjustment down and said the figures have been audited and are final.

The presenter said they would work with the auditor to send the transfer (IGT) so the county could receive recoupment. A commissioner moved to approve and sign the FY25-26 GEMT representation letter; the motion was seconded and approved by voice vote.

Because the transcript’s numeric phrases are unclear in places, the article quotes them exactly as spoken rather than paraphrasing to numeric precision. The meeting record does not include the printed audit schedule or the final audited report attached to the representation letter in the visible transcript.