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Elizabeth M. Whitehorn, Director

Provider Notice issued 11/21/2023

 

Date: November 21, 2023
​To: Enrolled Transportation Providers 
​Re: Publicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental Payments

This notice informs providers enrolled in the Ground Emergency Medical Transportation (GEMT) program that payment for FY2023 (July 1, 2022 – June 30, 2023) will be due by January 31, 2024. Invoices will be sent via email no later than November 30, 2023.

This notice is also a reminder of a change in the processing method for GEMT payments.

The Department of Healthcare and Family Services (HFS) will no longer withdraw payments from providers that had previously enrolled with the Automated Clearing House (ACH) Direct Debit process utilizing form HFS3848G form. The new ACH Direct Debit process continues to be the preferred method of payment. Providers should complete form HFS3881G form and return it to HFS at HFS.GEMT@Illinois.gov to enroll in a provider-initiated payment process.

HFS 3881G ACH/Wire Transfers Form Completion Instructions

Agency Information

 

 

Field

Completion

Federal Program Name

Name of GEMT Provider

Agency Identifier

HFS

Agency Location Code

478

ACH Format

CCD+ (ACH Credit)  or  CTX (Wire Transfer)

Address

GEMT Provider address

Contact Person Name

The person the Illinois Treasurer’s Office contacts to set up the ACH

Telephone Number

Telephone number of Contact

Additional Information

Email address of Contact

 

 

Payee/Company Information

 

 

Field

Completion

Name

Illinois Department of Healthcare and Family Services

SSN No. or Taxpayer ID No.

371320188

Address

201 South Grand Avenue East

Springfield, IL 62763

Contact Person Name

Donavon Patton

Telephone Number

217-785-9623

Financial Institution Information

This is completed by the Illinois Treasurer’s Office.

Enrollment in the new ACH Direct Debit process is voluntary. Payment may still be remitted via a check noting “GEMT Payment” to the address below. Please include the invoice number on the check.

Illinois Department of Healthcare and Family Services
Bureau of Fiscal Operations - GEMT
PO Box 19491
Springfield, IL 62794-9491

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

 

Kelly Cunningham, Administrator
Division of Medical Programs