ABCs of EMS Medicaid Funding

ABCs of EMS Medicaid Funding: The New Rules After OBBBA

The One Big Beautiful Bill Act (OBBBA) is changing the rules on Medicaid supplemental payments and EMS agencies need to be ready. This post breaks down the three main program types—Certified Public Expenditure (CPE), Intergovernmental Transfer (IGT), and provider tax—showing how they work, where they’re most at risk under the new law, and what these shifts could mean for your budget. We also explore how OBBBA’s provisions intersect with a Medicaid funding system already under pressure, giving you the insight you need to plan ahead and protect vital EMS services.

q3 where's digitech

Meet Digitech at EMS Industry Events – Q3 2025

This summer and fall, Digitech is on the road. From July through September, we’ll be at top EMS and fire industry conferences – meeting with agency leaders, sharing what’s working in EMS billing, and exploring ways to drive better operational and financial performance.

Check out our full Q3 tradeshow lineup and see where you can find us!

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Meet Digitech at EMS Industry Events – Q2 2025

Join Digitech at leading EMS and fire industry conferences this spring and summer. From April through June, we’ll be attending key events across the country, connecting with EMS leaders, and highlighting how our billing solutions help agencies maximize revenue and efficiency. See our full schedule and where to find us!

Death and Taxes Featured Image

Death and Taxes: Sustaining the Lifeline of EMS Services

Municipal EMS systems rely on a complex mix of funding sources, taxes, direct billing, and supplemental programs, to stay operational. But with rising costs and reimbursement gaps, many agencies face financial strain. This article explores the critical role of diverse funding sources, where shortfalls occur, and the solutions needed to keep EMS services running.

Business of Saving Lives

Webinar – The Business of Saving Lives: Balancing EMS Costs and Revenues

In this webinar, learn strategies to tackle one of the most pressing challenges in the EMS and Fire industries: managing rising costs with limited funding. Hosted by Digitech’s Michael Brook, this exclusive session brings together industry experts to explore cost mitigation strategies, reimbursement hurdles, and innovative funding solutions.

Where's Digitech Q1

Meet Digitech at EMS Industry Events – Q1 2025

Discover where Digitech will be this quarter! We’re excited to attend leading industry conferences across the country, connecting with professionals and showcasing our latest innovations. Check out our event schedule and plan to meet us at these can’t-miss events.

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Behind the Sirens: The Hidden Costs of EMS Readiness

What does it take to keep EMS available around the clock? The costs are staggering and often hidden from view. Let’s delve into the actual price of maintaining emergency ambulance services and our financial challenges.

Ambulance - EMS Economics in Critical Condition

Shock Advised: EMS Economics in Critical Condition

As our nation celebrates the 50th anniversary of EMS Week, a time when we’re honoring the profession and celebrating our country’s dedicated clinicians, there’s something we don’t seem to be talking about enough: our broken EMS reimbursement model.

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Webinar – The Hype and the Hope: Exploring Artificial Intelligence in EMS

Watch our most recent webinar on AI in EMS. Panelists explore AI’s application in their areas of specialization: dispatch and communications, ePCR and RMS software, EMS education, and revenue cycle management. A lively Q&A with the expert panelists offers additional insights and takeaways on the emerging applications of AI in EMS.

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What Will It Take to Get Fair Medicaid Reimbursement?

Medicaid severely under-reimburses EMS providers for ambulance transports, posing financial strain. Despite supplemental payment programs, inadequate funding jeopardizes EMS services, urging legislative intervention for sustainable solutions.

Outsource EMS Billing - Why?

Why Should You Outsource EMS Billing?

Deciding how to handle your agency’s EMS billing takes analysis and careful consideration, with plenty of pros and cons to weigh. Here we provide five good reasons to outsource.

Mobile Integrated Healthcare

Webinar: The State of Mobile Healthcare 2022

This free panel discussion explores the current state of affairs in Mobile Integrated Health: the ET3 rollout, regional and local disparities in the execution of mobile integrated healthcare, and how providers are overcoming the challenges to efficient delivery of MIH.

EMS billing RFP questions

50 Questions to Ask on Your EMS Billing RFP

Issuing an EMS billing RFP this year? Selecting the right partner is a crucial decision for every EMS organization that outsources billing services. This list arms you with 50 questions in six major areas to include in your billing RFP so you can make an informed choice.

Twitter EMS World Innovation Award

Digitech Wins EMS Product Innovation Award

Digitech’s Symptom Map wins a 2021 EMS World Innovation Award with its interactive heat map that allows EMS agencies to geospatially track call locations and responding crews.

News

Digitech Closes Successful First Quarter Of 2021

Digitech has closed a successful first quarter of 2021 with key additions to its staff and customer base as well as the continued migration of legacy clients onto their industry-leading billing platform.

New Utilities in Ambulance Commander

Our ability to adapt to an ever-changing EMS landscape is a benefit to our clients. We’ve released new tools to help track Coronavirus-related incidents in your service area. 

Important COVID News

For the duration of this Public Health Emergency, Digitech remains committed to assisting the EMS community by sharing important, up-to-date information related to industry changes and COVID-19.

Where in the World is Digitech – Q1 2020

Digitech’s road warriors are starting 2020 with a busy schedule full of industry conferences. Here’s where you can catch up with us for the first few months of 2020.

Digitech Learning Center Goes Live

The DLC is a new training resource enabling pre-hospital care providers and first responders to deepen their knowledge of a growing array of topics, including a complete, internally-produced documentation compliance course.

Same Dashboard. Better Results.

Check out the newest features to Digitech’s Ambulance Commander. Multi-Select Filtering. Zoom and Scroll. Legend Quick-Filters. Vertical Cross-hairs. Better Features – Bigger Results.

Using Data Analytics to Build Business Acumen

Budgets, reports, revenue cycle management, cash flow, forecasts – there is a mountain of financial data that the modern EMS provider has to track to be an effective organization. What should the Operations Chief or CFO expect from their billing company?

In-House Billing Is Out of Control

It’s been argued that in-house billing affords ambulance companies more control. But don’t confuse proximity with getting the answers and information you need to increase billing productivity.

Finding Money Ain’t Cheap

You might think you’re getting a bargain with a billing service that offers a low cost per claim, but just because something is cheaper doesn’t mean it’s a better value.

The Right Partner

Finding the “right” billing partner requires a bit of digging, which begins with identifying the right technology.