Provider Notice issued 07/28/2023

The information in this notice applies to all publicly owned transportation providers that deliver ambulance services in the Medical Assistance program.

By informational notice dated August 9, 2019, the Department introduced a supplemental payment methodology that would allow public providers to receive supplemental payments above the fee schedule rates they currently receive, if their cost to provide the services exceeds the reimbursement the providers currently receive based on the Department's Transportation Fee Schedule.

In order to participate in the program in calendar year 2024, government owned and operated providers of emergency ambulance services should complete the cost report form available on the Department's Cost Reports webpage. A new cost report is required even if a provider is currently participating in the program in 2023.

For providers who will participate for the first time in 2024, an Intergovernmental Agreement (IGA) also on the Cost Reports webpage must be signed by the officer authorized to sign contracts for the unit of local government that owns and operates the ambulance provider. This authorized officer should be the Mayor, Village or Town Administrator, or the head of the Fire Protection District.

The cost report (and signed IGA, if applicable) are due to the Department by October 2, 2023. The cost report should be submitted both as an Excel file and as a PDF with signatures. All documents should be emailed to HFS.GEMT@illinois.gov.

Questions regarding the program should be directed to HFS.GEMT@illinois.gov or the Bureau of Professional and Ancillary Services at 877-782-5565.

Kelly Cunningham, Administrator
Division of Medical Programs