DEPARTMENT MAKING REQUEST
Public Safety
Title
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Public Emergency Medical Transportation Program Letter of Agreement and Inter-Governmental Transfer Questionnaire
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REQUESTED MOTION/ACTION
recommendation
Recommended Action:
a) Authorize participation in the Public Emergency Medical Transportation (PEMT) supplemental program for Medicaid managed care organizations (MCOs); and
b) Authorize the Chairman to execute the Letter of Agreement (LOA) with the State of Florida Agency for Health Care Administration (AHCA) relating to intergovernmental transfer to the State.
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budget
Budgeted Action:
No action needed. Budgeted in the General Fund - Emergency Medical Services budget to be approved during the FY2024 budget process. Funding for this expenditure comes from the General Fund.
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BACKGROUND (Why is this Action Necessary, and What Action will be accomplished)
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Background:
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 1.1 million dollars to date.
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