TO: Honorable Board of County Commissioners
THROUGH: John A. Titkanich, Jr., County Administrator
David Johnson, Director of Emergency Services
FROM: Steve Greer, Assistant Chief
Department of Fire Rescue
DATE: September 8, 2025
SUBJECT: Approval of Public Medical Transportation Letter of Agreement between Indian River County Emergency Services District and the Agency for Health Care Administration (Year Seven)
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BACKGROUND
Staff seeks consideration of a Letter of Agreement with the Agency for Health Care Administration (AHCA) for the receipt of Public Emergency Medical Transportation-Managed Care Organizations (PEMT-MCO) payments to the County for this year.
AHCA has significantly changed the process to receive the PEMT payments to providers over prior years. The new process requires an upfront payment from the County of $571,385.02 in order to receive the PEMT payment. This payment from the County to AHCA, as well as all of the statewide provider’s payments, will be bundled as a funding mechanism to apply for federal grants.
It is anticipated that the funds provided to AHCA ($571,385.02) will be returned to the County, as well as the annual PEMT MCO funds estimated to be $764,250.83, with a total return to the County of $1,335,635.85.
ANALYSIS
N/A
BUDGETARY IMPACT
Funding for this agreement, in the amount of $571.385.02, will come from the Emergency Services District Fund/Other Operating Supplies-PEMT account, number 11412022-035290-20023, via budget amendment from Cash Forward. When payment is returned to the County, the funds will be deposited into the Emergency Services District Fund/Service Charges/PEMT Program Distribution revenue account.
PREVIOUS BOARD ACTIONS
This agenda item was brought to the Board last year for it's sixth year approval on September 10, 2024.
POTENTIAL FUTURE BOARD ACTIONS
This agenda item is brought to the Board annually for approval.
STRATEGIC PLAN ALIGNMENT
Public Safety
OTHER PLAN ALIGNMENT
N/A
STAFF RECOMMENDATION
.Recommended Action
.Staff recommends the approval and execution of the Letter of Agreement between the Indian River County Emergency Services District and the Agency for Health Care Administration.