Applicable Federal Cost Principles for Ground Emergency Medical Transportation (GEMT)
CMS is issuing this informational bulletin to remind states of existing federal requirements relevant to
payment for GEMT services in Medicaid to assist them in developing state plan amendments (SPAs) and
other proposals that are consistent with such federal requirements.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 17, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.