Public provider are those agencies which are owned or operated by a municipality or group of municipalities.

Brief program overview
The Certified Public Expenditure program uses the voluntary submission of an annual cost report to provide supplemental Medicaid reimbursement to public ambulance providers. Eligibility includes any ambulance service provider owned by any municipality or group of municipalities (regardless of whether the ambulance service provider is organized as a nonprofit corporation). Supplemental payments will be calculated based on reported costs, and all providers who submit a cost report can expect a payment representing a portion of their reported costs, if they meet the following criteria:

• Provide ground emergency transportation services to Wisconsin Medicaid members.
• Be licensed in Wisconsin and enrolled as an active Wisconsin Medicaid provider for the period being claimed.
• Be classified as PUBLIC (owned and operated by a municipality or group of municipalities) provider.

Private (and non-profit) providers are those agencies which are not owned or operated by a municipality or group of municipalities.

Brief program overview
The Assessment program compels private and non-profit providers (not owned or operated by a municipality or group of municipalities) to pay an assessment to operate as an EMS provider in Wisconsin. DMS then draws matching federal funding on those collected fees and redistributes the total as supplemental payments to providers based on Medicaid services rendered. The supplemental payment amounts are calculated based on the volume of Medicaid trips relative to other private and non-profit providers in Wisconsin.