TO: Honorable Mayor & Members of the North Port Commission
FROM: A. Jerome Fletcher II, ICMA-CM, MPA, City Manager
TITLE: Approve the Public Emergency Medical Transport (PEMT) Letter of Agreement With the Agency for Health Care Administration (ACHA) in the Amount of $208,062.72.
Recommended Action
Approve the Public Emergency Medical Transport (PEMT) Letter of Agreement with the Agency for Health Care Administration (ACHA) in the amount of $208,062.72.
Background Information
Over the past seven years, the Medicaid Fee for Service (FFS) Public Emergency Medical Transportation (PEMT) Program has generated over $100 Million in additional federal dollars to Florida’s Public Emergency Medical Service (EMS) provider community.
The Managed Care Organizer (MCO) Program has a different funding mechanism than the FFS Program. This funding mechanism begins with an Intergovernmental Transfer (IGT). What this means for providers is that for the additional funding to be generated, the provider community will need to transfer specific dollar amounts determined by the State Medicaid Agency (SMA) and the Agency for Health Care Administration (AHCA). This allows the AHCA to draw down the additional Federal funding. These IGT amounts will be returned to providers along with the additional federal dollars in the form of pass-through payments made by the Managed Care Organizations (MCOs).
The City of North Port has 7 MCOs in our region. Each MCO required an Agreement for the pass-through payments to be completed. Each of the 7 MCO Letters of Agreement were completed in Fiscal Year 2020 and are on file with the City Clerk’s office. A total of $494,916.08 will be transferred to the City of North Port in Fiscal Year 2025 contingent on approval of this Agreement.
The Public Emergency Medical Transport Letter of Agreement with the Agency for Health Care Administration has been reviewed by the City Attorney and is legally correct as to form.
Strategic Plan
Safe Community
Financial Impact
State Share Contribution (IGT) from the City of North Port - $208,062.72
Federal Share Received (net new funding) - $286,853.36
Total Funding (Revenue to be received in FY25) - $494,916.08
Procurement
Not applicable.
Attachments:
1. Public Emergency Medical Transport Letter of Agreement State Fiscal Year 23-24
Prepared by: Deputy Fire Chief Nick Herlihy
Department Director: Fire Chief Scott Titus