MECHANICSBURG, Pa. — With Congress missing the midnight deadline to pass a new spending bill, the federal government shut down at 12:01 a.m. today. Lawmakers have not indicated when a deal might be reached and key provisions for ground ambulance providers expired along with the funding resolution.

The PWW Advisory Group reported that the 2% urban, 3% rural and 22.6% super-rural Medicare add-on payments for ground ambulance services lapsed on Sept. 30. Industry groups are urging Congress to include an extension in any stopgap or full-year appropriations package.

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Medicare payments and activities

Medicare operations will largely continue during the shutdown:

Claims and payments: Medicare Administrative C

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