File #: 11-0415    Version:
Type: Agenda Item Status: Approved
File created: 4/8/2011 In control: Board of Supervisors
On agenda: 1/3/2017 Final action: 1/3/2017
Title: Health and Human Services Agency, Public Health Division, recommending the Board: 1) Approve and authorize the Chair to sign Memorandum of Understanding (MOU) 021-M1710 with Alpine County, beginning upon final execution through August 31, 2019, for the County of El Dorado to provide ambulance services via an agreement with the CSA 3 ambulance contractor within the defined boundaries of Alpine County, on a fee-for-service basis; and 2) Authorize the Chief Administrative Officer, or designee, to execute further documents relating to MOU 021-M1710, including amendments which do not increase the term of the MOU, and contingent upon approval by County Counsel and Risk Management. FUNDING: Fee-for-service billing to patient or third party payer for services provided.
Attachments: 1. 2A - Approved Contract Routing Sheet, 021-M1710, 01-03-2017, 2. 2B - Memorandum of Understanding 021-M1710, 01-03-2017, 3. Executed MOU 021-M1710, 4. A - Blue Sheet - A-1 to MOU with Alpine Co .pdf, 5. B - A-1 to MOU with Alpine County.pdf, 6. C - Alpine Co MOU for Ambulance Services.pdf
Related files: 19-0910
Title
Health and Human Services Agency, Public Health Division, recommending the Board:
1) Approve and authorize the Chair to sign Memorandum of Understanding (MOU) 021-M1710 with Alpine County, beginning upon final execution through August 31, 2019, for the County of El Dorado to provide ambulance services via an agreement with the CSA 3 ambulance contractor within the defined boundaries of Alpine County, on a fee-for-service basis; and
2) Authorize the Chief Administrative Officer, or designee, to execute further documents relating to MOU 021-M1710, including amendments which do not increase the term of the MOU, and contingent upon approval by County Counsel and Risk Management.

FUNDING: Fee-for-service billing to patient or third party payer for services provided.
Body
DEPARTMENT RECOMMENDATION:
Health and Human Services Agency (HHSA) recommending the Board approve and authorize the Chair to sign Memorandum of Understanding (MOU) 021-M1710 with Alpine County to allow the County of El Dorado to provide Advanced Life Support ground ambulance services within the defined boundaries of Alpine County contiguous to the area known as County Service Area 3 (CSA 3) on a fee-for-service basis. This will ensure ambulance services to those Alpine County residents and visitors in the defined service area of Alpine County.

DISCUSSION / BACKGROUND:
Alpine County borders the County of El Dorado and is considered within the Lake Tahoe medical market area. Historically El Dorado provided ambulance service coverage for Alpine County via the County of El Dorado’s agreement with the ambulance service contractor for CSA 3, through MOU 687-PHD1107, which expired December 31, 2011. Since that time, the County of El Dorado has provided ambulance services via mutual aid, and auto aid, in accordance with Government Code Title 2, Division 2, Chapter 7, since Alpine County has neither the staff nor the facilities to provide ambulance services. HHSA has recently negotiated mut...

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