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Committee authorizes continued participation in Missouri GEMT program despite fee changes
Summary
The committee approved continuing participation in the Missouri Ground Emergency Medical Transport (GEMT) reimbursement program after staff explained administrative fee changes (from 15% to 12% on fee-for-service runs and a new 9% for managed-care collections) and said the net effect is unclear until collections stabilize.
Brentwood's fire/EMS leadership told the Public Safety Committee on Jan. 28 that an amendment to the city's Ground Emergency Medical Transport (GEMT) contract alters administrative fees: the prior 15% administrative charge is being reduced to 12% for fee-for-service runs and a 9% fee has been added for managed-care organization collections. Staff said the changes reflect evolving Medicare and Medicaid reimbursement rules.
"They're just notifying us that ... we are gonna be collecting less on fee for service," the EMS lead said, but added that earlier conversations with the prior chief indicated the change may be a wash once managed-care collections are factored in. Staff said Chief Herman will track collections and report back when more data are available.
The committee moved, seconded and approved continued participation for 2025 and authorized the updated fee schedules; roll call reflected unanimous support from members present.
Staff said an executed resolution will be presented to the Board of Aldermen as part of the contract amendment process.
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