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Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board:
1) Approve and authorize to Chair to sign funding Agreement 7071 with Sacramento Metropolitan Fire District, serving as a fiscal intermediary between the State and the County of El Dorado for the Supplemental Medi-Cal Reimbursement Program for ground emergency medical transport, with an effective date retroactive to July 1, 2022. This Agreement covers the period July 1, 2022 through June 30, 2023, and includes administrative costs based on 1% of the amount reimbursed by the State; and
2) Authorize the Deputy Chief Administrative Officer to execute any necessary amendments relating to Agreement 7071, excluding term extension and increases to the not-to-exceed amount, contingent upon approval by County Counsel and Risk Management.
FUNDING: CSA 3 and CSA 7.
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DISCUSSION / BACKGROUND
The Department of Health Care Services (DHCS) is the State agency responsible for administering the Medi-Cal Program, pursuant to Welfare and Institutions Code Section 14105.94. DHCS has obtained Federal approval to operate a Supplemental Reimbursement Program (Program) for Ground Emergency Medical Transportation (GEMT) Services provided by California ambulance providers. Under this Certified Public Expenditures Program, the County is eligible to receive reimbursement for approximately 50% of the total eligible expenditures for the provision of GEMT services to Medi-Cal fee-for-service patients.
The administrative costs of the Program must be borne by the ambulance providers benefiting from the program, including the County. The Program is operated by DHCS, who has entered into a contract with Metro Fire providing that Metro Fire advances funds to DHCS, and is subsequently reimbursed by other providers. Agreement 7071 provides for the reimbursement of Metro Fire by the County for the County’s share of the administrative costs of the Program. Add...
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