TO: Mayor and Commissioners
FROM: L. Keith Tomey, Fire Chief
THROUGH: Jennifer Alvarez, Interim City Manager
DATE: September 10, 2020
Title
RESOLUTION NO. 149-20: APPROVAL OF A LETTER OF AGREEMENT (LOA) WITH THE FLORIDA AGENCY FOR HEALTHCARE ADMINISTRATION (AHCA) FOR PARTICIPATION IN THE MANAGED CARE ORGANIZATION (MCO) PORTION OF THE PUBLIC EMERGENCY MEDICAL TRANSPORTATION (PEMT) PROGRAM.
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Recommended Action:
Recommendation
Staff recommends the approval of the Letter of Agreement (LOA) with AHCA to facilitate additional reimbursement of Medicaid dollars for providing emergency medical transportation to individuals covered by one of Medicaid’s Managed Care Organizations.
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Background:
AHCA is the agency responsible for administering Medicaid and Medicare in the State of Florida. Participation in the MCO - PEMT program is expected to generate an estimated $184,667 of additional revenue for providing these services. To accept these funds the program requires Inter-Governmental Transfers (IGT), or a payments by the City to AHCA at an estimated total of $75,000. This would mean approximately $110,000 of new net revenue to the City.
The City currently participates in the Fee For service (FFS) portion of the PEMT program, which generated nearly $828,000 in fiscal year 2019-20. The MCO portion of the PEMT program is not available until year two of participation. As such, this will the execution of this LOA by October 1, 2020 is a requirement for participation. Additional reimbursement dollars will be paid directly to the City’s Medicaid collection account by the MCO’s as those funds are distributed to them by AHCA.
City Attorney Review:
Approved as to form and legal sufficiency.
Funding Source/Financial Impact:
Funding is available from the Fire Administration budget account number 001220005223190.
The IGT amount was included in the budget proposal for FY 20-21. If approved, the IGT payments would be made to AHCA, allowing AHCA to draw down ...
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