CMS rejected Wyoming’s proposal to eliminate air ambulance surprise medical bills by making all residents Medicaid-eligible for ambulance services on the grounds that the proposal is at odds with the purposes of the Medicaid program. The agency also says Wyoming’s proposal would increase federal government spending, and Medicaid waiver requests must be budget neutral. The proposal, which came in the form of a Medicaid 1115 waiver , asked to turn air ambulances into a public utility by making all the...