Title:
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Approve and authorize the Chairman to execute a Resolution implementing Budget Amendment Request (BAR) #24-038 in the Fire Protection Fund to appropriate funding in the amount of $749,468 for the Public Emergency Medical Transportation (PEMT)/Managed Care Organization (MCO) program. Countywide (Timothy Jecks, Management & Budget Director) Requesting Department - Fire Department
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Division:
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Management and Budget
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Authorized By:
Timothy Jecks, Management and Budget Director
Contact/Phone Number:
Davison Heriot/407-665-7177
Background:
In 2019, State Bill 2500 signed by the Governor provided additional funding for the Medicaid Managed Care Organization program (MCO). This program established a statewide weighted average cost per transport. For the providers to receive MCO payments, they must transfer via Intergovernmental Transfer (IGT), their state share to the Agency for Health Care Administration (AHCA). The State will use these funds to draw down federal matching funds. The funds will then be sent back through the Managed Care Organizations (MCOs) which will disburse the funds to the providers.
Currently, Seminole County transports approximately 3,000 Medicaid patients annually to hospitals. Overall, Medicaid patients make up roughly 12% of total patient transports with an average reimbursement of $190, which is significantly lower when compared to patients who have Medicare ($431) and private insurance ($575).
By participating in the MCO program, Seminole County can substantially increase its Medicaid patient transport revenue and provide better services to the community. Seminole County’s required IGT for FY24 is $1,029,755.97 which will result in an additional $2,449,467.11 in Managed Care Organization (MCO) revenue, a net increase of $1,419,711.14 for FY24.
The revenue for the PEMT MCO program is currently in the FY24 budget at $1,700,000 and this budget amendment will recognize an additional $749,468 in revenue to get to the total anticipated program revenue of $2,449,467. Additionally, the FY24 budget currently includes an appropriation in the amount of $670K for Seminole County’s required IGT; this budget amendment will increase the IGT budget to the required amount of $1,029,755.97 and increase the appropriated funding for the cost of transport billing by $11,692. This budget amendment will increase Fire Fund reserves in the amount of $378,020, which are currently budgeted at $37,366,491.
Requested Action:
Staff requests the Board approve and authorize the Chairman to execute a Resolution implementing the Budget Amendment Request (BAR) #24-038 in the Fire Protection Fund to appropriate funding in the amount of $749,468 for the Public Emergency Medical Transportation (PEMT)/Managed Care Organization (MCO) program.