Entity Information: Due Date: 1/16/2026
Payment Details:
Year: 2026 Contribution #: 1
1922004555
Program/Payee Information: Banking Information:
PP-GEMT Program Email: Payment Methods Accepted:
[email protected] ACH or Wire Transfer
Payment Instructions:
IGT Non-Federal Share (NFS) Breakdown By DHCS Delivery System Managed Care (MC)
MC NFS #1 313,695.91$
Fee For Service (FFS)
FFS NFS #1 31,395.61$
345,091.52$ Total* IGT Transfer Amount:
*Any differences are due to rounding.
California Department of Health Care Services US Bank
Please await Wire Request Memo for payment instructions Attention: Please review, sign, and submit the Intergovernmental Transfer (IGT) Certification form by January 2, 2026, to [email protected]. IGT Certification forms are required to be submitted prior to each collection due date. Once the IGT Certification form is received, DHCS will send a Wire Request Memo providing payment details and instructions. Please do not send your IGT payment until you have received the Wire Request Memo as payment details are subject to change.
NPI:
Total Amount Due: $345,091.52
Vendor Name: Bank Name:
PUBLIC PROVIDER GROUND EMERGENCY MEDICAL TRANSPORTATION (PP-GEMT) PROGRAM MANAGED CARE AND FEE FOR SERVICE — INVOICE
Entity Name:
City Of Orange
CY 2026 Invoicing Schedule CY 2026 Dates of Service
Invoice Packets Sent 12/2/2025
IGT Certifications Due 1/2/2026
Payment Due 1/16/2026
Invoice Packets Sent 3/3/2026
IGT Certifications Due 4/3/2026
Payment Due 4/17/2026
CY 2024 FFS Recon #1 Date of Service Jan - Jun 2024
CY 2025 MC Recon #1 Date of Service TBD
Invoice Packets Sent 6/2/2026
IGT Certifications Due 7/3/2026
Payment Due 7/17/2026
Invoice Packets Sent 9/1/2026
IGT Certifications Due 10/2/2026
Payment Due 10/16/2026
CY 2024 FFS Recon #2 Date of Service Jul - Dec 2024
CY 2025 MC Recon #2 Date of Service TBD
CY 2026 Invoice #4
CY 2026 Invoice #1
CY 2026 Invoice #2
CY 2026 Invoice #3