Title
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Public Emergency Medical Transportation Program Letter of Agreement Extension, Letter of Agreement Renewal, and Intergovernmental Transfers
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recommendation
Public Safety
a) Approve Resolution authorizing the County Administrator, or his/her designee, to execute the amended Public Emergency Medical Transportation (PEMT) Letter of Agreement for FY2024/2025; and
b) Authorize participation in the PEMT supplemental program for Medicaid Managed Care Organizations (MCOs) for year 8; and
c) Authorize the Chairman to sign the Public Emergency Medical Transportation (PEMT) Letter of Agreement for FY2025/2026; and
d) Authorize the Chairman to sign the Resolution.
**Added, 9/22/2025**
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Budgeted Action:
No action needed. Budgeted in the General Fund - Emergency Medical Services budget to be approved during the FY2025 budget process. Funding for this expenditure comes from the General Fund.
Background:
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In 2016, the State of Florida authorized the PEMT Certified Public Expenditure (CPE) program to provide supplemental payments to public emergency medical transportation providers for Medicaid fee for service patients transported to hospitals. The PEMT CPE program helps close the gap between actual costs incurred and revenue received for each emergency medical transport. Charlotte County has received $764,039.32 from the PEMT CPE program to date.
In 2019, Florida’s Legislature authorized the expansion of the PEMT program to include patients in Medicaid managed care organizations. In order to leverage the 61.47% Federal share, qualifying government owned ambulance providers are to provide the 38.53% States share through Intergovernmental Transfers (IGTs) to AHCA. The revenue from this program will be received through various Medicaid MCOs for their covered patients who are transported to a hospital. With participation in the MCO program, Charlotte County has received over 1.1 million dollars to date.
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