Medicare GADCS Resources

CMS created the Medicare Ground Ambulance Data Collection System (GADCS) to collect data from selected ground ambulance providers and suppliers. CMS also created the resources below to support organizations as they gather, prepare, and submit their required data. Organizations can find additional information about the GADCS on the Medicare Ground Ambulance Data Collection System website.

Date Title Description Format
2025-12-09
Medicare Ground Ambulance Data Collection System (GADCS) Updated Codebook Year 1-4 Cohort Analysis
This codebook accompanies the appendix report and describes the structure and contents of the Medicare Ground Ambulance Data Collection System (GADCS) Year 1-Year 4 analytic file used to conduct the analyses described throughout the report.
PDF
2025-12-09
Medicare Ground Ambulance Data Collection System (GADCS) Report Appendix Year 1-Year 4 Cohort Analysis
This appendix is an update to the GADCS Report that was posted on December 19, 2024. This appendix updates the response rates, summary statistics, and econometric analyses described in the previous report with data from all cohorts of the GADCS reported ...
PDF
2025-09-09
Medicare Ground Ambulance Data Collection System (GADCS) Codebook
This codebook accompanies the report and describes the structure and contents of the Medicare Ground Ambulance Data Collection System (GADCS) Year 1 and Year 2 analytic file used to conduct the analyses described throughout the report. This codebook was o...
PDF
2025-05-06
Quick Tips on Registration and Requesting Access to the GADCS Portal: Spanish
Tip sheet on how to access the system in Spanish.
PDF
2024-12-19
Medicare Ground Ambulance Data Collection System (GADCS) Report Year 1 and Year 2 Cohort Analysis
This is CMS’ first report on the GADCS data that was reported by selected ground ambulance organizations in Year 1 and Year 2.
PDF
2024-09-18
Reporting Labor Information in the Medicare Ground Ambulance Data Collection System (GADCS)
Provides a quick overview of the requirements to report staffing and labor costs (Section 7) in the Medicare GADCS.
Video
2024-07-22
Ground Ambulance Industry Trends, 2017-2022 Report: Analysis of Medicare Fee-for-Service Claims
Analysis of Medicare Part B ambulance services claims data from 2017-2022.
PDF
2024-07-22
Ground Ambulance Industry Trends, 2017-2022 Report: Analysis of Ground Ambulance Organization Entrance and Exit
Analysis of ground ambulance organizations that entered and exited the market during 2017-2022.
PDF
2024-02-16
Reporting for Rural and Super Rural Organizations
Tip sheet to assist rural and super rural organizations in reporting in the GADCS.
PDF
2024-01-01
GADCS User Guide
User manual that provides information about the system and section-by-section instructions on reporting.
PDF
2023-11-29
Reporting for Public Safety Organizations
Tip sheet to assist public safety organizations in reporting in the GADCS.
PDF
2023-11-16
Five Top Medicare Ground Ambulance Data Collection System (GADCS) Tips for Selected Year 3 and Year 4 Ground Ambulance Organizations Required to Report Beginning in January 2024
Tip sheet to assist selected ground ambulance organizations in Year 3 and Year 4 in reporting.
PDF
2023-11-02
Five Top GADCS Tips for Selected Ground Ambulance Organizations in Year 1 and Year 2 that are Required to Report Beginning in January 2023
Tip sheet to assist selected ground ambulance organizations in Year 1 and Year 2 with reporting.
PDF
2023-11-02
Medicare GADCS FAQs
Series of questions and answers for each section of the GADCS to assist selected ground ambulance organizations in collecting and reporting the required GADCS data.
PDF
2023-11-02
Medicare Ground Ambulance Data Collection Instrument: English & Spanish
Provides the instructions and questions in English & Spanish that organizations will see in the GADCS web-based portal.
PDF
2023-08-25
Walkthrough of the Medicare Ground Ambulance Data Collection System
Overview of the GADCS including a walkthrough of the GADCS instrument.
Video
2023-01-26
Allocating Costs and Revenues
Tip sheet to assist organizations in allocating costs and revenues in the GADCS.
PDF
2023-01-26
Reporting Expenses for Contracted Services
Tip sheet to assist organizations in reporting contracted services expenses.
PDF
2023-01-26
Reporting for Government-Based Organizations
Tip sheet to assist government-based organizations in reporting in the GADCS.
PDF
2023-01-26
Reporting for Provider Organizations
Tip sheet to assist provider organizations in reporting in the GADCS.
PDF
2023-01-01
Quick Tips on Registration and Requesting Access to the GADCS Portal
Tip sheet on how to access the system.
PDF
2022-11-09
Hardship Exemption Request Form
Copy of the Hardship Exemption request form.
PDF
2022-11-07
Facilities Template
Selected ground ambulance organizations may import this template to report facilities costs to the GADCS.
Excel ZIP
2022-11-07
Vehicles Template
Selected ground ambulance organizations may import this template to report vehicles costs to the GADCS.
Excel ZIP
2022-11-07
Year 1 – Year 4 Lists of Selected Providers and Suppliers
List of selected providers and suppliers for each year.
Excel ZIP
2022-11-01
Ground Ambulance Industry Trends, 2017–2020 Report: Analysis of Medicare Fee-for-Service Claims
Analysis of Medicare Part B ambulance services claims data from 2017-2020.
PDF
2022-03-08
Quick Reference Guide
Brief overview of the GADCS and list of the specific information that selected organizations must collect and report.
PDF
2019-07-30
Report: Sampling & Instrument Considerations & Recommendations
Report covering sampling and instrument considerations and recommendations in establishing the GADCS.
PDF
Page Last Modified:
07/20/2026 10:18 AM