Public Emergency Medical Service Supplemental Payment

What is the Public Emergency Medical Service (EMS) Supplemental Payment?

The Public EMS Supplemental Payment is an amendment to the Colorado State Plan, effective January 1, 2018, that allows eligible EMS providers to receive an annual supplemental payment for the uncompensated costs incurred by providing ground or air emergency medical transportation services to Medicaid beneficiaries.

Overview of EMS Supplemental Payment

Who is a qualified provider?

As defined by the Colorado State Plan, a qualified provider must meet the following criteria:

Be enrolled as a Medicaid provider for the period being claimed on their annual cost report
Provide ground or air emergency medical transport services to Medicaid enrollees
Be an organization owned or operated by the state, city, county, fire protection district, community services district, health care district, federally recognized Indian tribe or any unit of government as defined in 42 C.F.R. Sec. 433.50

Who should apply?

Any public EMS provider that meets the Qualified Provider criteria. Interested providers are required to complete and submit the Participation Agreement to the Department.

How is the payment allocated?

EMS providers will complete an annual, web-based cost report that will determine total Medicaid allowable costs, as well as the costs not yet reimbursed through Medicaid billing. These uncompensated costs will then be allocated to the provider.

Program Contact:

Shawn Stanifer
shawn.stanifer@state.co.us
303-866-5474