medicaid is not processing ambulance bills at this time

"The federal shutdown is not helping us right now. The Center for
Medicaid Services does a lot of our federal reimbursements," Gerboth
said. "They are accepting our claims but they are not processing them
until the end of the shutdown, so there will certainly be a delay of
those."

https://www.salemreporter.com/2025/10/27/fire-department-response-times-will-get-worse-as-call-volume-continues-to-rise-chief-says/