Agenda Item Name:
Title
Agreement with the State of Florida for the Medicaid Managed Care Payment and Intergovernmental Transfer (IGT) Program
End
Presenter:
Harold Theus, Chief 352-384-3101
Description:
Agreement with the State of Florida for the Medicaid Managed Care Payment and Intergovernmental Transfer Program to provide supplemental payment program for Medicaid Managed Care patients
Recommended Action:
Recommended Action
Adopt the Resolution, approve the agreement and budget amendment
End
Prior Board Motions:
N/A
Fiscal Consideration:
Fiscal Consideration
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The County will be providing the State share through an intergovernmental transfer (IGT). The IGT will require the County to provide the State share, approximately $548,186.35, which will result in approximately $1,422,752.01 of additional Managed Care Option (MCO) patient transport revenue. The net unanticipated revenue is $874,565.66 ($1,422,752.01 less IGT $548,186.35). Staff recommends an allocation of $677,092.00 for the Fire Rescue CIP (310.54.5480.522.62.00), $40,000.00 (net) for enhanced integrated clearing house services with insurance discovery and demographic verification capabilities ($20,000.00 currently spent that will be reallocated for a total of $60,000.00) (001.54.5450.526.34.00), $105,000.00 for incompatible stretcher replacement (001.54.5450.526.64.00), and $52,474 for anticipated compensation to PCG payment (6%) for their assistance in collecting the additional revenue (001.54.5450.526.34.00).
Background:
Alachua County Fire Rescue transports approximately 32,500 patients annually generating collections of approximately $12 million per year from Medicare, Medicaid, private commercial insurance companies and individual payers. Of the total patients transported each year, almost 14 percent are covered by Medicaid. The average reimbursement for the services per Medicaid patient transport is $173.28. This amount is significantly lower when compared to...
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