relliott

November 6, 2017

  1. Q.  Submitted To DHCS: One of our member ambulance companies contacted us with a question regarding the GEMT Quality Assurance Fee data collection requirement.

 The member has read the instructions on the GEMTQAF website and read the instructions on the GEMTQAF submission form.  The instructions and definitions on the website and the “instructions” tab on the submission form are consistent.  Yet, the definitions on the “example” tab of the submission form seem to be causing confusion.

 In the list of definitions on the “example” tab, the transports are defined as: “Number of xxxxx emergency medical transports paid by payment type xxxxxx”.

 The instructions and definitions on the website and the “instructions” tab on the submission form seem to require the number of transports performed/conducted.  However, the instructions on the “example” tab seem to require the number of transports that were actually paid.

 Please clarify this inconsistency.  Are ambulance companies required to report the number of transports performed/conducting during the reporting period, or the number of transports that were paid during the reporting period?

Obviously, the number will be different because there is often a lag time in payments being received.

Thank you for your assistance.

 

  1. Received November 13, 2017 from DHCS: Not sure if we answered your question already.  We are currently collecting data for the total number of emergency medical transports by payer type, including Medi-Cal fee-for-service (FFS) and Medi-Cal managed care ground emergency medical transports, and all other payer types, for the quarter beginning July 1, 2015 through the quarter beginning July 1, 2017. We are also collecting the gross receipts received from the provision of emergency medical transports for FYs 2015-16 and 2016-17.

 Transports should be reported based on the date of service when transport was provided. Gross receipts should be reported on a cash basis of accounting.

 Please visit and review our GEMT QAF website where you will find additional information and a link to Senate Bill 523. http://www.dhcs.ca.gov/provgovpart/Pages/GEMTQAF.aspx

 Thank you for your email. Let us know if you have any additional questions.

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