CMS approves Health Information Technology for EMS

The California Emergency Medical Services Authority (EMSA) is pleased to announce that the Centers for Medicare & Medicaid Services (CMS) has reviewed and approved California’s Health Information Technology (HIT) for Emergency Medical Services (EMS) proposal for $40 million through September 30, 2021.

The approval of State’s advance planning document adds additional funding for administrative support and implementation activities for a new Health Information Technology in Emergency Medical Services (HITEMS) project. The HITEMS project will facilitate emergency care and disaster response by developing bidirectional connections between Health Information Organizations, local EMS agencies and providers, local hospitals, and medical professionals. This project will advance care coordination by allowing Medicaid providers to meet meaningful use requirements through improved health information exchange and advancing interoperability tools and services for EMS, community paramedics, End-of-Life decisions and disaster medical responses.

The approved Implementation Advance Planning Document-Update (IAPD-U) was submitted by the California Department of Health Care Services’ (DHCS) in March 2018. DHCS will partner with the State of California Emergency Medical Services Authority (EMSA) to develop this project, which is estimated to run through September 30, 2021 with an estimated cost of $40 million dollars using a 90/10 matching formula. The State must provide adequate support for all costs claimed and provide detailed records and proper audit trails. Additionally, only actual costs incurred are reimbursable. Onsite reviews will be conducted at the discretion of CMS to determine if the objectives for which FFP was approved are being accomplished and to verify that the program is being administered efficiently and effectively as described in 42 CFR § 495, Subpart D.

Two important Next Steps for EMSA are on the horizon:

  • EMSA continues to work with Foundations and Local EMS agencies to identify the required 10% non-federal matching funds.
  • EMSA expects to begin to formally solicit proposals from local EMS agencies for health information exchange for EMS within the next 30-45 days.


Please contact Leslie Witten-Rood, HITEMS Project Manager, for further information.



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