Intergovernmental transfer agreements and Iowa GEMT
What an intergovernmental transfer (IGT) agreement is, why Iowa GEMT requires one, and how the IGT mechanism actually moves money in the supplemental payment program.
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Working notes and plain-English explainers on Iowa GEMT cost reporting, Medicaid supplemental payments, and the work that keeps publicly operated ambulance services funded.
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A GEMT cost report checklist for Iowa ambulance services
A practical checklist of the documents, data, and approvals to gather before starting an Iowa GEMT cost report. Use this as an intake list.
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How Medicaid supplemental payments work for ambulance services
An overview of how Medicaid supplemental payment programs like GEMT work — what they pay for, who funds the non-federal share, and how the dollars actually flow.
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Who qualifies for GEMT supplemental payments in Iowa?
Iowa's GEMT program is open to publicly owned or operated ambulance services. Here's what 'publicly owned or operated' actually means, and what disqualifies a service.
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Iowa GEMT cost report: deadlines, process, and what to gather
Iowa's GEMT cost report is due November 30. Here's the process, the documents you need to gather, and the timeline to plan around.
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What is GEMT? A plain-English explainer for Iowa ambulance services
A short, plain-English explanation of the Ground Emergency Medical Transportation (GEMT) program, how it works in Iowa, and who qualifies for supplemental Medicaid payments.
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Have a GEMT cost report due?
Call 515-238-7012 or send a note. Rick will get back to you within one business day.