Title
MOTION TO RATIFY THE CITY MANAGER’S EXECUTION OF THE PUBLIC EMERGENCY MEDICAL TRANSPORTATION LETTER OF AGREEMENT BY AND BETWEEN THE CITY OF PEMBROKE PINES ON BEHALF OF THE CITY OF PEMBROKE PINES FIRE RESCUE DEPARTMENT AND THE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION, INVOLVING A $699,355.62 PAYMENT TO THE STATE FOR PARTICIPATION IN THE SUPPLEMENTAL PUBLIC EMERGENCY MEDICAL TRANSPORTATION PROGRAM.
Summary Explanation and Background
SUMMARY EXPLANATION AND BACKGROUND:
1. This item is for the Fire Department's participation in the Supplemental Public Emergency Medical Transportation Program.
2. The Fire Department received the agreement on September 29, 2025, with a deadline to sign and return by October 1, 2025. Due to the short turnaround, the City Manager executed the agreement, subject to ratification by the Commission.
3. Medicaid payment rates do not recognize actual costs incurred by EMS providers for Medicaid emergency transports, which are typically reimbursed at 25% or less of actual service costs.
4. Participation in the Program allows the City of Pembroke Pines to recover a greater percentage of the service costs.
5. EMS providers are required to provide funding of the State share in the form of an Intergovernmental Transfer (IGT) to draw down additional federal Medicaid funding, available to participating EMS providers.
6. The attachments highlight the IGT amount of $699,355.62 and the projected total allotment amount of $1,748,389.05 for a net return of $1,049,033.43.
7. This item presented by the City's Fire Department involves a $699,355.62 payment to the State for participation in the form of an Intergovernmental Transfer (IGT) requires Commission approval.
Financial Impact
FINANCIAL IMPACT DETAIL:
a) Initial Cost: $699,355.62
b) Amount budgeted for this item in Account No: See 2025-26 Proposed Budget below
IGT Revenue
001-529-4003-581010-0000-000-0000- Medicaid MCO Supplemental IGT $589,248.00...
Click here for full text