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File #: 21-902    Version: 1 Name:
Type: Request Status: Agenda Ready
File created: 8/10/2021 In control: City Commission
On agenda: 9/13/2021 Final action:
Title: 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.
Sponsors: Fire Rescue Department
Attachments: 1. Agenda Cover Report, 2. Delray Beach_SFY2122_PEMT_LOA_updated signature line, 3. Simple Legal Review Approval- Public Emergency Medical Transportation Letter of Agreement, 4. Year 3 SFY 2021-22 PEMT MCO Projections_AHCA Final for Providers
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TO:                                          Mayor and Commissioners

FROM:                     L. Keith Tomey lll, Fire Chief

THROUGH:                     Terrence R. Moore, ICMA-CM

DATE:                     September 13, 2021

 

Title

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.

 

Body

Recommended Action:

Recommendation

Staff recommends the approval of the Letter of Agreement (LOA) to facilitate additional reimbursement of Medicaid dollars for providing emergency medical transportation to individuals covered by one of Medicaid's Managed Care Organizations.

 

Body

Background:

AHCA is the agency responsible for administering Medicaid and Medicare in the State of Florida. Participation in the MCO portion of the PEMT program is expected to generate an estimated $84,277 of additional revenue in FY 21-22. To accept these funds the program requires the City to make an Inter-Governmental Transfer (IGT), to AHCA in the amount of $32,843. The IGT funds are used by AHCA to "draw down" the federal funding for this program and are recouped as part of the $84,277 of new revenue.

The City has participated in this program for the last two years, which generated nearly $161,342 in fiscal year 2010-21. The renewal of the agreement and execution of this LOA is required prior by October 1, 2021, to be eligible for payments in State FY 21-22. MCO payments are made directly to the City's Medicaid collection by theMCOs, when those funds are by AHCA.

 

City Attorney Review:

Approved as a form and legal sufficiency.

 

Funding Source/Financial Impact:

The IGT amount was included in the budget proposal for FY 21-22. If approved, the IGT payments would be made to AHCA, allowing AHCA to draw additional federal funds for this program. AHCA in turn, provides additional funding to the MCO's and each of the MCO's would remit the additional Medicaid transport dollars directly to the City totaling an estimated $84,277.

001-22-000-522.31-90 Professional Services Other Professional Services.

 

Timing of Request:

This agreement must be fully executed and returned to AHCA prior to October 1, 2021.