21-736 Send a List of Your GEMT Providers to Help with Automated Payments
Date: 10/25/21
New annual requirement starts January 1, 2022
Participating physician groups (PPGs) and hospitals must submit a list of their contracted ground emergency medical transportation (GEMT) providers each year. This applies to Medi-Cal providers contracted with California Health & Wellness Plan (CHWP) under a global and dual risk arrangement.
The list will help identify non-contracted GEMT providers for automated payments that meet the requirements under the quality assurance fee (QAF) program.1
Due date
Your list is due no later than March 31 of each year starting in 2022.
Include this information
At a minimum, you must have the following information on the list you submit each year.
- Provider name.
- Provider type (PPG or Hospital).
- Risk type (Dual or Global).
- GEMT provider name.
- GEMT National Provider Identifier (NPI) number.
Where to send your list
You can send it directly to your assigned Provider Relations & Contracting Specialist (PRCS).
Additional information
Relevant sections of the provider operations manuals have been revised to reflect the information contained in this update as applicable. The provider operations manual is available in the Provider Resources section of the provider website.
If you have questions regarding the information contained in this update, contact CHWP at 877-658-0305.
1 The Department of Health Care Services established the QAF program. Visit the DHCS Ground Emergency Medical Transport Quality Assurance Fee webpage for more information.