Title:
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Approve and authorize the Chairman to execute a Resolution implementing Budget Amendment Request (BAR) #26-003 in the Fire Protection Fund to appropriate funding in the amount of $311,338 for increased revenue from PEMT allocation. Countywide (Timothy Jecks, Management & Budget Director) Requesting Department - Fire
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Division:
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Fire Department
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Authorized By:
Timothy Jecks, Management & 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 providers to receive MCO payments, they must transfer their state share via Intergovernmental Transfer (IGT) 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 account for roughly 12% of total patient transports, with an average reimbursement of $190, which is significantly lower compared to patients with 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 FY26 is $1,264,710.34, which will result in an additional $2,956,312.14 in Managed Care Organization (MCO) revenue, representing a net increase of $1,691,601.80 for FY26.
The revenue for the PEMT MCO program is currently in the FY26 budget at $2,644,975. This budget amendment will recognize an additional $311,338 in revenue, increasing the total anticipated program revenue to $2,956,313. Additionally, the FY26 budget currently includes an appropriation of $1,132,843 for Seminole County’s required IGT. This budget amendment will increase the IGT budget to the required amount of $1,264,710 and increase the appropriated funding for the cost of transport billing by $5,384. This budget amendment will increase Fire Fund reserves by $174,086, which are currently budgeted at $27.9 million.
Requested Action:
Staff requests the Board approve and authorize the Chairman to execute a Resolution implementing Budget Amendment Request (BAR) #26-003 in the Fire Protection Fund to appropriate funding in the amount of $311,338 for increased revenue from PEMT allocation.