Agenda Item Name:
Title
Public Emergency Medical Transportation (PEMT) Reimbursement
End
Presenter:
Harold Theus, Chief, 352-384-3101
Description:
Recording unanticipated revenue for reimbursement from the Florida PEMT program
Recommended Action:
Recommended Action
Adopt the resolution adjusting the FY20 Adopted budget for unanticipated revenue and expenditures and approve the budget amendments
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Prior Board Motions:
N/A
Fiscal Consideration:
Fiscal Consideration
Approve receipt of $277,834.00 unanticipated revenue (001.54.5450.334.20.00) and allocation for the vendor payment of $33,340.00 (001.54.5450.526.34.00), replacement/addition of three (3) Fire Rescue command staff vehicles for $167,641.00 (001.54.5450.526.64.00), and software maintenance for $76,853 (001.54.5450.526.52.31).
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Background:
Alachua County had an opportunity to collect additional revenue for transportation services provided to Medicaid recipients through the Public Emergency Medical Transportation (PEMT) Program, a federal reimbursement program that allows transportation providers to request additional federal funds to support the costs of providing transportation for Fee-For-Service Medicaid recipients. This program was first offered during FY17 and has continued through FY19. In FY19, Alachua County’s reimbursement request resulted in a gross collection of $277,834 with a 12% fee due of $33,340 to the consultant assisting the County with the request.
In FY19, the PEMT allocation included the replacement of the EMS reporting software. This purchase had an annual recurring cost to be covered by future PEMT allocations of approximately $76,853.00 for hardware and software.
Staff recommends the remaining revenue be allocated to address vehicle needs within Fire Rescue. The recommendation is the addition of three command vehicles to the Fire Rescue fleet of vehicles for staff. Two of the three vehicles were previously involved in crashes and not replaced. Fire Rescue staff has met with Fleet Management and Office of Management and Budget regarding this request and all support the need. The recurring annual costs will be covered with annual PEMT funds in future years.
Administrative staff have responsibilities throughout Alachua County’s 963 square miles and 15 locations that require marked vehicles for travel. Over recent years, staff vehicle numbers have been reduced. Additionally, the existing fleet of Administrative vehicles have not kept pace with the organizational growth and needs. The budget issue is requesting three vehicles.
1. Assistant Chief (SUV) - Prior to a collision in 2015, the Assistant Chief has always maintained a marked vehicle. A requirement of the position is to respond to significant medical and fire emergencies.
2. Assistant Chief (SUV) - In 2016, the Assistant Chief’s vehicle was replaced with a pickup truck. This truck does not have response capable equipment. The truck would be utilized as a pool vehicle for the training staff.
3. Training Lieutenant (Expedition) - In the reorganization of the Training Department, the training division will be reassigned to 24-hour work days. As a result, the 24-hour training position will need a marked vehicle to conduct his/her duties and respond to significant events.
The County did not include the unanticipated revenue of $277,834 and the expense of $33,340.00 associated with the reimbursement processing services, in the FY20 budget