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 Transportation (PEMT) Letter of Agreement By and Between the City of North Port on Behalf of North Port Fire Rescue and the State of Florida, Agency for Healthcare Administration (AHCA) in the Amount of $292,763.45.
Recommended Action
Option 1: Move to approve the Public Emergency Medical Transportation (PEMT) Letter of Agreement By and Between the City of North Port on Behalf of North Port Fire Rescue and the State of Florida, Agency for Healthcare Administration (AHCA) in the Amount of $292,763.45.
Commission Options
Option 1: Move to approve the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and Between the City of North Port on Behalf of North Port Fire Rescue and the State of Florida, Agency for Healthcare Administration (AHCA) in the amount of $292,763.45.
* Pros:
o Enables the City to leverage federal matching funds through the PEMT Program.
o Provides additional net new revenue ($391,583.08) for the City's Emergency Medical Services (EMS) operations.
o Supports continuation of the statewide PEMT Program that benefits EMS providers.
* Cons:
o Requires upfront transfer (IGT) of $292,763.45 by the City before reimbursement.
Option 2: Move to deny the Public Emergency Medical Transportation (PEMT) Letter of Agreement by and Between the City of North Port on Behalf of North Port Fire Rescue and the State of Florida, Agency for Healthcare Administration (AHCA) in the amount of $292,763.45.
* Pros:
o Avoids the need for the City to transfer Intergovernmental Transfers (IGT) funds to the State.
* Cons:
o City forfeits $391,583.08 in net new federal funding.
o City would not participate in the Fiscal Year 2026 PEMT Program, losing access to total revenues of $684,346.53.
Background Information
Beginning in 2016, the Medicaid Fee for Service (FFS) PEMT Program has generated...
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