Supplemental Emergency Medical Transport Program (SEMT)
Voluntary transport reimbursement for providers
Overview
Supplemental Emergency Medical Transportation (SEMT) Program is a voluntary program that will allow eligible publicly owned and operated Medicaid providers to voluntarily submit annual reports to be reimbursed Medicaid supplemental payments.
SEMT providers submit annual cost reports to the Department of Health that are used to calculate a provider’s cost per transport. The supplemental payment will be the federal portion of the difference between the provider’s cost per transport and the payment that the provider has already received in fee-for-service Medicaid payments and any other source of reimbursement.
The State Plan Amendment 19-007 for the SEMT program has an effective date of August 31, 2019. This authority allows for transports on or after this date of service to be eligible for SEMT reimbursement. The Alaska SEMT regulations are effective October 9, 2021. See Reporting Timelines for more information.
Who qualifies?
Provider participation in the SEMT program is voluntary. Providers must meet all the following requirements to be eligible to participate in the SEMT program:
- Be enrolled as a Medicaid provider with an active provider participation agreement for the period being claimed
- Be a publicly owned or operated state, city, county, fire protection district, community service district, health care district, federally recognized Indian tribe, or any unit of government as defined in 42 C.F.R. Sec 433.50
- Provide emergency ground, air, or water medical transportation to Medicaid fee-for-service recipients
How to sign up
To become a participating SEMT provider:
- Complete, print out, sign, and scan the SEMT Provider Participation Agreement
- Complete and submit an annual cost report
- Complete and submit supporting documentation for the cost report including but not limited to:
- Audited Financial Statements (AFS)
- Post audit working trial balance that ties to the AFS in excel format
- Reconciliation of the post audit working trial balance to the cost report in excel format (see SEMT Documents below for an example)
- Email the agreement, along with your annual cost report and supporting documents, to: AKSEMT@alaska.gov.
How to use
Reporting Timelines
Reporting Timelines
Reporting Timelines
Previous years
Annual report documents for previous years are due April 7, 2022, which is 180 days after the effective date of the regulations. Reports subject to this due date include:
CY19 & CY20
FFY19, FFY20, and FFY21*
SFY20 & SFY21
*FFY21 was accidentally not included in 7 AAC 145.760(h) as a previous year report. In order to ensure this previous year is due the same time as all previous year reports and to ensure the FFY21 reports are not due prior to the FFY19 & FFY20 reports, the Department has issued an extension letter for FFY21.
Future Years
The following future SEMT annual reports are due in the next year and a half. Future year reports are due on or before the last day of the fifth month after the provider’s fiscal year. If the filing deadline falls on a weekend or holiday, the report is due the following business day.
CY21 – Due May 31, 2022
SFY22 – Due November 30, 2022
FFY22 – Due February 28, 2023
Settlement Timelines
Settlement Timelines
Settlement Timelines
Providers participating in the SEMT program will receive an interim supplemental payment by the end of the second quarter following the submission of their annual report:
- Calendar Year (CY): By 12/31 following report submission
- State Fiscal Year (SFY): By 6/30 following report submission
- Federal Fiscal Year (FFY): By 9/30 following report submission
The interim payment is calculated using the provider's submitted cost report and claims data from the Medicaid Management Information System (MMIS), as recorded on Schedule 9 – Interim Payments.
Submitted cost reports will undergo a desk review to verify the provider’s cost per emergency medical transport and determine the final settlement amount. This review includes completion of Schedule 10 – Final Settlement by the Department.
The final settlement will be completed within three years of receiving the as-filed cost report. Depending on the review results, the Department will either issue a final federal funds supplemental payment to the provider or recover any federal payments exceeding the provider’s costs after accounting for other reimbursements.
SEMT Documents
SEMT Documents
SEMT Documents
- SEMT Provider Participation agreement
- SEMT Cost Report
- Alternative Accessible SEMT Cost Report
- SEMT Cost Report Instructions
- SEMT Cost Report Reconciliation Template
SEMT documents and training information is accessible via the State of Alaska Library Archives website.
SEMT FAQ's
SEMT FAQ's
SEMT Training
SEMT Training
SEMT Training
SEMT Administrative Fee
SEMT Administrative Fee
Administrative Fee
The SEMT program ensures its implementation does not increase state general fund expenditures. A flat fee is applied per Medicaid emergency medical transport for the service period covered in cost reports. This fee is calculated by multiplying the flat rate by the number of a provider’s SEMT-eligible transports.
The calculation includes the state fund cost for staff managing the SEMT program, determined through positive timekeeping, and the total number of SEMT transports. Detailed information is available in the SEMT Program Training documents.
Providers will receive written notification of their fee amount by May 15 each year. Payment is due by June 15 for each year they participate.
SEMT Program Authority
SEMT Program Authority
SEMT Program Authority
CMCS Informational Bulletin:Applicable Federal Cost Principles for Ground Emergency Medical Transportation (GEMT)
House Bill 176 passed during the 2018 legislative session.
Courtesy copy of the Regulations
The final regulations will be posted to the Register in January 2022.