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Emergency Triage, Treat, and Transport (ET3) Model

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Catalog of Federal Domestic Assistance Number: 93.381
Centers for Medicare and Medicaid Services
Oct 5, 2019

The Emergency Triage, Treat, and Transport (ET3) Model is a voluntary, 5-year payment model that will provide greater flexibility to ambulance care teams to address emergency healthcare needs of Medicare Fee-for-Service (FFS) beneficiaries following a 911 call. The model is designed to correct misaligned incentives and has the potential to improve the quality of care and lower costs to Medicare by reducing avoidable transports to the hospital ED and potentially reducing avoidable inpatient admissions.

The ET3 Model will test 2 new Medicare payments to participants:

  1. Payment for ambulance transport of Medicare FFS beneficiaries to alternative destinations not currently covered by Medicare
  2. Payment for treatment in place where appropriate, rendered by a qualified healthcare practitioner at the scene of a 911 emergency response or via telehealth

Additional ET3 funding is available to state and local governments and other eligible entities through the Emergency Triage, Treat, and Transport (ET3) Model – Medical Triage Line program.


Model participants will be Medicare-enrolled ambulance suppliers and hospital-based ambulance providers that meet the criteria described in the application instructions.

Geographic coverage
Amount of funding

An illustration of possible ET3 payment scenarios is provided in Table 2 of the application instructions.

The ET3 model will have a 5-year performance period with an anticipated start date in January 2020.

Application process

A request for applications was released in May, 2019. Submit using the online application.

Visit the program website for links to additional information, recorded webinars, and a link to subscribe to the ET3 Model news and updates.

Tagged as
Community paramedicine · Emergency department and urgent care services · Emergency medical services · Emergency medical technicians and paramedics · Healthcare quality · Medicare · Reimbursement and payment models · Service delivery models

Organizations (1)

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