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File #: 14-0332    Version:
Type: Agenda Item Status: Approved
File created: 2/21/2014 In control: Board of Supervisors
On agenda: 8/8/2017 Final action: 8/8/2017
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign funding Agreement 036-S1810 (Agreement) with Sacramento Metropolitan Fire District, serving as the fiscal intermediary between the County of El Dorado and the State, for supplemental Medi-Cal reimbursement from the State for ground emergency medical (ambulance) transport, with an effective date retroactive to July 1, 2017. This Agreement covers the period July 1, 2017 through June 30, 2020, and includes administrative costs based on 1% of the amount reimbursed by the State; and 2) Authorize the Chair to execute further Amendments, relating to Agreement 036-S1810 that do not increase the administrative cost percentage or change the term of the Agreement, and contingent upon approval by County Counsel and Risk Management. FUNDING: Medicaid Federal Financial Participation.
Attachments: 1. 3A - Approved Contract Routing Sheet, 08-08-2017, 2. 3B - Sacramento Metro Fire Agreement 036-S1810, 08-08-2017, 3. 2A - 339-O1511, Approved Contract Routing Sheet, 08-11-2015, 4. 2B - 339-O1511, Sacramento Metropolitan Agreement, 08-11-2015, 5. Executed Agreement for Recovery of Administrative Costs, 6. A - Contract Route - CA Dept Health Care 3-4-14.pdf, 7. B - Agmt with CA Dept Health Care Svcs 3-4-14, 8. C - Contract Route - Sac Metro Fire 3-4-14.pdf, 9. D - Agmt with Sacramento Metro Fire District 3-4-14, 10. F - Final - Agmt with Sac Metro Fire Dist. 3-4-14.pdf, 11. E - Final - Agmt with CA Dept Health Care Svcs 3-4-14.pdf, 12. Executed Agreement 496-O1411 (BOS 3-4-14), 13. Executed Agreement 526-F1011 (BOS 3-4-14), 14. Executed Agmt # 036-S1810 (BOS 8-8-17)
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign funding Agreement 036-S1810 (Agreement) with Sacramento Metropolitan Fire District, serving as the fiscal intermediary between the County of El Dorado and the State, for supplemental Medi-Cal reimbursement from the State for ground emergency medical (ambulance) transport, with an effective date retroactive to July 1, 2017. This Agreement covers the period July 1, 2017 through June 30, 2020, and includes administrative costs based on 1% of the amount reimbursed by the State; and
2) Authorize the Chair to execute further Amendments, relating to Agreement 036-S1810 that do not increase the administrative cost percentage or change the term of the Agreement, and contingent upon approval by County Counsel and Risk Management.

FUNDING: Medicaid Federal Financial Participation.
Body
DEPARTMENT RECOMMENDATION:
The Health and Human Services Agency (HHSA) recommends approval of Agreement 036-S1810 with Sacramento Metropolitan Fire District (Metro Fire) to serve as the fiscal intermediary between the State and the County of El Dorado. This funding Agreement provides federal Medicaid reimbursement (referred to as supplemental Medi-Cal reimbursement) for each ambulance transport provided to a Medi-Cal beneficiary. Additionally, Metro Fire receives an administrative fee of one percent (1%) based on the amount of supplemental Medi-Cal reimbursement for Ground Emergency Medical Transportation (GEMT) services the County receives from Metro Fire on behalf of the State.

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 14100.1. DHCS also administers the Ground Emergency Medical Transportation (GEMT) Services Supplemental Reimbursement Program (Program) specific to Medicaid (Medi-Cal in California) reimbursement and submits c...

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