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 $202,613.16
Recommended Action
Approve the Public Emergency Medical Transport (PEMT) Letter of Agreement with the Agency for Health Care Administration (ACHA) in the amount of $202,613.16.
Background Information
Beginning in 2016, the Medicaid Fee for Service (FFS) PEMT Program has generated millions in additional federal dollars to Florida's Public Emergency Medical Service (EMS) provider community.
The Managed Care Organization (MCO) program has a different funding mechanism than the FFS program. This funding mechanism begins with an Intergovernmental Transfer, or 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, AHCA, and this allows 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.
The City of North Port has seven (7) MCOs in its region and a total of $473,063.64 will be transferred to the City of North Port in FY26 contingent on approval of this agreement.
This Public Emergency Medical Transport Letter of Agreement has been reviewed by the City Attorney's Office and is legally correct.
Strategic Plan
Safe Community
Financial Impact
State Share Contribution (IGT) from the City of North Port - $202,613.16
Federal Share Received (net new funding) - $270,450.48
Total Funding (Revenue to be received in FY26) - $473,063.64
Procurement
This agreement was procured in accordance with Section 2-403 (a) 2 of the City of North Port Procurement Code: Procurement contracts betwee...
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