Grand County backs letter opposing proposed CMS GEMT payment cap

Jun 23, 2026

Grand County EMS presented and the board approved sending a letter opposing a proposed CMS rule that would cap GEMT supplemental payments to the Medicare ambulance fee schedule, which EMS warns could cut rural reimbursements roughly in half.

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EMS Chief Austin Wingate presented a draft letter asking federal legislators to oppose a proposed Centers for Medicare & Medicaid Services (CMS) rule that would cap Ground Emergency Medical Transportation (GEMT) supplemental payments to a Medicare ambulance fee schedule. Chief Wingate explained Colorado's current cost-based reconciliation model and said the proposed cap would cut the county's portion of Medicaid reconciliation from about 54.5% of actual costs to roughly 26%.

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