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Click here for the August 2023 GEMT Update

What is GEMT?

Ground Emergency Medical Transportation (GEMT) Program

GEMT is a federally funded Medicaid program that has been around for years, but was introduced to Illinois via legislation in 2019. The program allows municipalities an opportunity to collect an additional Medicaid reimbursement for ambulance services, above and beyond what the State reimburses for Medicaid claims for Emergency Transportation.

While it may seem tedious to provide the necessary information,including an annual cost report, the payback has been an important source of revenue that has proven desperately needed.  

Program Requirements

  • Be owned or operated by an eligible governmental entity including State, City, County and Fire Protection Districts
  • Approve and file an Intergovernmental Agreement with the Illinois Department of Healthcare and Family Services (HFS)
  • Be enrolled as a Medicaid provider during the period being claimed
  • Provide Medical Transportation services to Medicaid recipients during the period claimed
  • File an annual cost report due no later than October 1 for the recent fiscal year

If you are a Fire Department or Fire District transporting patients to an emergency room don't miss out.

Click here for some information from Illinois Department of Healthcare and Family Services.

Contact GEMT Expert Phil Giannattasio at the Naperville Fire Department.


2021 Documents


Cost Report

Cost Report Instructions Rate

Supplemental Payments

General Mailing Address:                       Remittance/AR  Address:

PO Box 7, Skokie, IL 60076-0007           PO Box 4424, Lisle,IL 60532
Tel: 847.966.0732
Fax: 847.966.0782

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