Medicare GADCS Resources https://www.cms.gov/rss/33776 Sun, 02 Aug 2026 08:42:08 -0400 Centers for Medicare and Medicaid ServicesReport: Sampling & Instrument Considerations & RecommendationsWed, 15 Jul 2026 11:47:09 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/report-sampling-instrument-considerations-recommendationshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/report-sampling-instrument-considerations-recommendationsdate: Tue, 30 Jul 2019 04:00:00 -0400

description: Report covering sampling and instrument considerations and recommendations in establishing the GADCS.

file_name: PDF

title: Report: Sampling & Instrument Considerations & Recommendations

]]>Quick Reference GuideWed, 15 Jul 2026 11:44:36 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/quick-reference-guidehttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/quick-reference-guidedate: Tue, 08 Mar 2022 05:00:00 -0500

description: Brief overview of the GADCS and list of the specific information that selected organizations must collect and report.

file_name: PDF

title: Quick Reference Guide

]]>Ground Ambulance Industry Trends, 2017–2020 Report: Medicare FFS ClaimsWed, 15 Jul 2026 11:41:05 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/ground-ambulance-industry-trends-2017-2020-report-medicare-ffs-claimshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/ground-ambulance-industry-trends-2017-2020-report-medicare-ffs-claimsdate: Tue, 01 Nov 2022 04:00:00 -0400

description: Analysis of Medicare Part B ambulance services claims data from 2017-2020.

file_name: PDF

title: Ground Ambulance Industry Trends, 2017–2020 Report: Analysis of Medicare Fee-for-Service Claims

]]>Year 1 – Year 4 Lists of Selected Providers and SuppliersWed, 15 Jul 2026 11:36:38 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/year-1-year-4-lists-selected-providers-suppliershttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/year-1-year-4-lists-selected-providers-suppliersdate: Mon, 07 Nov 2022 05:00:00 -0500

description: List of selected providers and suppliers for each year.

file_name: Excel ZIP

title: Year 1 – Year 4 Lists of Selected Providers and Suppliers

]]>Vehicles TemplateWed, 15 Jul 2026 11:34:25 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/vehicles-templatehttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/vehicles-templatedate: Mon, 07 Nov 2022 05:00:00 -0500

description: Selected ground ambulance organizations may import this template to report vehicles costs to the GADCS.

file_name: Excel ZIP

title: Vehicles Template

]]>Facilities TemplateWed, 15 Jul 2026 11:30:16 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/facilities-templatehttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/facilities-templatedate: Mon, 07 Nov 2022 05:00:00 -0500

description: Selected ground ambulance organizations may import this template to report facilities costs to the GADCS.

file_name: Excel ZIP

title: Facilities Template

]]>Hardship Exemption Request FormWed, 15 Jul 2026 11:27:28 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/hardship-exemption-request-formhttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/hardship-exemption-request-formdate: Wed, 09 Nov 2022 05:00:00 -0500

description: Copy of the Hardship Exemption request form.

file_name: PDF

title: Hardship Exemption Request Form

]]>GADCS Portal Quick TipsWed, 15 Jul 2026 09:56:35 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-portal-quick-tipshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-portal-quick-tipsdate: Sun, 01 Jan 2023 05:00:00 -0500

description: Tip sheet on how to access the system.

file_name: PDF

title: Quick Tips on Registration and Requesting Access to the GADCS Portal

]]>Reporting for Provider OrganizationsWed, 15 Jul 2026 09:54:46 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-provider-organizationshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-provider-organizationsdate: Thu, 26 Jan 2023 05:00:00 -0500

description: Tip sheet to assist provider organizations in reporting in the GADCS.

file_name: PDF

title: Reporting for Provider Organizations

]]>Reporting for Government-Based OrganizationsWed, 15 Jul 2026 09:52:54 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-government-based-organizationshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-government-based-organizationsdate: Thu, 26 Jan 2023 05:00:00 -0500

description: Tip sheet to assist government-based organizations in reporting in the GADCS.

file_name: PDF

title: Reporting for Government-Based Organizations

]]>Reporting Expenses for Contracted ServicesWed, 15 Jul 2026 09:50:28 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-expenses-contracted-serviceshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-expenses-contracted-servicesdate: Thu, 26 Jan 2023 05:00:00 -0500

description: Tip sheet to assist organizations in reporting contracted services expenses.

file_name: PDF

title: Reporting Expenses for Contracted Services

]]>Allocating Costs and RevenuesWed, 15 Jul 2026 09:48:42 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/allocating-costs-revenueshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/allocating-costs-revenuesdate: Thu, 26 Jan 2023 05:00:00 -0500

description: Tip sheet to assist organizations in allocating costs and revenues in the GADCS.

file_name: PDF

title: Allocating Costs and Revenues

]]>Walkthrough of the Medicare GADCSWed, 15 Jul 2026 09:43:58 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/walkthrough-medicare-gadcshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/walkthrough-medicare-gadcsdate: Fri, 25 Aug 2023 04:00:00 -0400

description: Overview of the GADCS including a walkthrough of the GADCS instrument.

file_name: Video

title: Walkthrough of the Medicare Ground Ambulance Data Collection System

]]>Five Top GADCS Tips for Selected Ground Ambulance Organizations in Year 1 and Year 2 (2023)Wed, 15 Jul 2026 09:39:38 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/five-top-gadcs-tips-selected-ground-ambulance-organizations-year-1-year-2-2023https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/five-top-gadcs-tips-selected-ground-ambulance-organizations-year-1-year-2-2023date: Thu, 02 Nov 2023 04:00:00 -0400

description: Tip sheet to assist selected ground ambulance organizations in Year 1 and Year 2 with reporting.

file_name: PDF

title: Five Top GADCS Tips for Selected Ground Ambulance Organizations in Year 1 and Year 2 that are Required to Report Beginning in January 2023

]]>Medicare GADCS FAQsWed, 15 Jul 2026 09:30:36 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/medicare-gadcs-faqshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/medicare-gadcs-faqsdate: Thu, 02 Nov 2023 04:00:00 -0400

description: 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.

file_name: PDF

title: Medicare GADCS FAQs

]]>Medicare GADC Instrument: SpanishWed, 15 Jul 2026 09:25:43 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/medicare-gadc-instrument-spanishhttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/medicare-gadc-instrument-spanishdate: Thu, 02 Nov 2023 04:00:00 -0400

description: Provides the instructions and questions in Spanish that organizations will see in the GADCS web-based portal (portal is in English).

file_name: PDF

title: Medicare Ground Ambulance Data Collection Instrument: Spanish

]]>Medicare GADC Instrument: English & SpanishWed, 15 Jul 2026 09:21:20 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/medicare-gadc-instrument-english-spanishhttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/medicare-gadc-instrument-english-spanishdate: Thu, 02 Nov 2023 04:00:00 -0400

description: Provides the instructions and questions in English & Spanish that organizations will see in the GADCS web-based portal.

file_name: PDF

title: Medicare Ground Ambulance Data Collection Instrument: English & Spanish

]]>Five Top Medicare GADCS Tips for Selected Year 3 and Year 4Wed, 15 Jul 2026 09:18:51 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/five-top-medicare-gadcs-tips-selected-year-3-year-4https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/five-top-medicare-gadcs-tips-selected-year-3-year-4date: Thu, 16 Nov 2023 05:00:00 -0500

description: Tip sheet to assist selected ground ambulance organizations in Year 3 and Year 4 in reporting.

file_name: PDF

title: 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

]]>Reporting for Public Safety OrganizationsWed, 15 Jul 2026 09:16:10 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-public-safety-organizationshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-public-safety-organizationsdate: Wed, 29 Nov 2023 05:00:00 -0500

description: Tip sheet to assist public safety organizations in reporting in the GADCS.

file_name: PDF

title: Reporting for Public Safety Organizations

]]>GADCS User GuideWed, 15 Jul 2026 09:14:36 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-user-guidehttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-user-guidedate: Mon, 01 Jan 2024 05:00:00 -0500

description: User manual that provides information about the system and section-by-section instructions on reporting.

file_name: PDF

title: GADCS User Guide

]]>Reporting for Rural and Super Rural OrganizationsWed, 15 Jul 2026 09:12:22 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-rural-super-rural-organizationshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-rural-super-rural-organizationsdate: Fri, 16 Feb 2024 05:00:00 -0500

description: Tip sheet to assist rural and super rural organizations in reporting in the GADCS.

file_name: PDF

title: Reporting for Rural and Super Rural Organizations

]]>Ground Ambulance Industry Trends, 2017-2022 Entrance and Exit ReportWed, 15 Jul 2026 09:08:42 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/ground-ambulance-industry-trends-2017-2022-entrance-exit-reporthttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/ground-ambulance-industry-trends-2017-2022-entrance-exit-reportdate: Mon, 22 Jul 2024 04:00:00 -0400

description: Analysis of ground ambulance organizations that entered and exited the market during 2017-2022.

file_name: PDF

title: Ground Ambulance Industry Trends, 2017-2022 Report: Analysis of Ground Ambulance Organization Entrance and Exit

]]>Ground Ambulance Industry Trends, 2017-2022 Report: Analysis of Medicare FFS ClaimsWed, 15 Jul 2026 09:04:20 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/ground-ambulance-industry-trends-2017-2022-report-analysis-medicare-ffs-claimshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/ground-ambulance-industry-trends-2017-2022-report-analysis-medicare-ffs-claimsdate: Mon, 22 Jul 2024 04:00:00 -0400

description: Analysis of Medicare Part B ambulance services claims data from 2017-2022.

file_name: PDF

title: Ground Ambulance Industry Trends, 2017-2022 Report: Analysis of Medicare Fee-for-Service Claims

]]>Reporting Labor Information in the Medicare GADCSWed, 15 Jul 2026 09:02:34 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-labor-information-medicare-gadcshttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/reporting-labor-information-medicare-gadcsdate: Wed, 18 Sep 2024 04:00:00 -0400

description: Provides a quick overview of the requirements to report staffing and labor costs (Section 7) in the Medicare GADCS.

file_name: Video

title: Reporting Labor Information in the Medicare Ground Ambulance Data Collection System (GADCS)

]]>GADCS Report Year 1 and Year 2 Cohort AnalysisWed, 15 Jul 2026 08:58:29 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-report-year-1-year-2-cohort-analysishttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-report-year-1-year-2-cohort-analysisdate: Thu, 19 Dec 2024 05:00:00 -0500

description: This is CMS’ first report on the GADCS data that was reported by selected ground ambulance organizations in Year 1 and Year 2.

file_name: PDF

title: Medicare Ground Ambulance Data Collection System (GADCS) Report Year 1 and Year 2 Cohort Analysis

]]>GADCS Portal Quick Tips: SpanishWed, 15 Jul 2026 08:55:25 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-portal-quick-tips-spanishhttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-portal-quick-tips-spanishdate: Tue, 06 May 2025 04:00:00 -0400

description: Tip sheet on how to access the system in Spanish.

file_name: PDF

title: Quick Tips on Registration and Requesting Access to the GADCS Portal: Spanish

]]>GADCS CodebookWed, 15 Jul 2026 08:50:18 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-codebookhttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-codebookdate: Tue, 09 Sep 2025 04:00:00 -0400

description: 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 originally posted on 12/19/2024. We revised some column numberings in the codebook (pages 43-46) to correct minor errors.

file_name: PDF

title: Medicare Ground Ambulance Data Collection System (GADCS) Codebook

]]>GADCS Updated Codebook Year 1-4 Cohort AnalysisWed, 15 Jul 2026 08:48:06 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-updated-codebook-year-1-4-cohort-analysishttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-updated-codebook-year-1-4-cohort-analysisdate: Tue, 09 Dec 2025 05:00:00 -0500

description: 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.

file_name: PDF

title: Medicare Ground Ambulance Data Collection System (GADCS) Updated Codebook Year 1-4 Cohort Analysis

]]>GADCS Report Appendix Year 1-Year 4 Cohort AnalysisWed, 15 Jul 2026 08:45:08 -0400https://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-report-appendix-year-1-year-4-cohort-analysishttps://www.cms.gov/medicare/payment/fee-schedules/ambulance-fee-schedule/medicare-gadcs-resources/gadcs-report-appendix-year-1-year-4-cohort-analysisdate: Tue, 09 Dec 2025 05:00:00 -0500

description: 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 as of May 15, 2025 (including Year 1 through Year 4 cohorts).

file_name: PDF

title: Medicare Ground Ambulance Data Collection System (GADCS) Report Appendix Year 1-Year 4 Cohort Analysis

]]>