Title
MOTION TO AUTHORIZE THE CITY MANAGER TO EXECUTE 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 $295,648.92 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. 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.
3. Participation in the Program allows the City of Pembroke Pines to recover a greater percentage of the service costs.
4. 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.
5. The attachments highlight the IGT amount of $295,648.92 and the expected total allotment amount of $740,047.00 for a net return of $444,398.08.
6. This item presented by the City's Fire Department involves a $295,648.92 payment to the State for participation in the form of an Intergovernmental Transfer (IGT) requires Commission approval.
Note: Item has been reviewed by the Commission Auditor and approved for the Agenda.
Financial Impact
FINANCIAL IMPACT DETAIL:
a) Initial Cost: $295,648.92
b) Amount budgeted for this item in Account No: See 2022-23 Proposed Budget below
001-000-4003-342602-0000-000-0000- |
Other public safety |
$423,810.00 |
001-529-4003-581010-0000-000-0000- |
Medicaid MCO Supplemental IGT |
$165,159.00 |
c) Source of funding for difference, if not fully budgeted: Once this item is approved a budget amendment will be processed to increase the 2022-23 budget by $130,490.
|
|
Revenue |
Expense |
001-000-4003-342602-0000-000-0000- |
Other public safety |
$316,237.00 |
|
001-000-0000-389940-0000-000-0000- |
Beginning Surplus |
($185,747.00) |
|
001-529-4003-581010-0000-000-0000- |
Medicaid MCO Supplemental IGT |
|
$130,490.00 |
|
Total Budget Increase |
$130,490.00 |
$130,490.00 |
d) 5 year projection of the operational cost of the project: This is an annual contract based on state fiscal year (SFY) and will be reflected in the City's 2022-23 budget.
|
Current FY |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
Revenues |
|
$740,047.00 |
|
|
|
Expenditures |
|
$295,648.92 |
|
|
|
Net Return |
|
$444,398.08 |
|
|
|
e) Detail of additional staff requirements: Not Applicable
FEASIBILITY REVIEW:
A feasibility review is required for the award, renewal and/or expiration of all function sourcing contracts. This analysis is to determine the financial effectiveness of function sourcing services.
a) Was a Feasibility Review/Cost Analysis of Out-Sourcing vs. In-House Labor Conducted for this service? Not Applicable
b) If Yes, what is the total cost or total savings of utilizing Out-Sourcing vs. In-House Labor for this service? Not Applicable