Share to Facebook Share to Twitter Bookmark and Share
File #: 22-1317    Version: 1 Name:
Type: Request Status: Agenda Ready
File created: 9/9/2022 In control: City Commission
On agenda: 9/19/2022 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. PEMT LOA 2022-23, 3. Simple Legal Review Approval- Public Emergency Medical Transportation Letter of Agreement 2022
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
No records to display.
TO: Mayor and Commissioners
FROM: L. Keith Tomey III, Fire Chief
THROUGH: Terrence R. Moore, ICMA-CM
DATE: September 19, 2022

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 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.

Body
Background:
AHCA is the agency responsible for administering Medicaid in the State of Florida. Participation in the MCO - PEMT program is expected to generate an estimated $441,126.27 of additional revenue for providing these services. The City of Delray Beach has participated in FL PEMT MCO program since Year 2. The LOA for this meeting is for Year 4 of the MCO program.

To accept these funds the program requires Inter- Governmental Transfers (IGT), or a payment by the City to AHCA at an estimated total of $176,229.95. This would mean approximately $264,896.32 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, the execution of this LOA by October 1, 2022 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 001-22-000-522.31-90.
The IGT amount was included in the budget proposal for F...

Click here for full text