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Boa 94 Pni 370 <br />It is our opinion if this action is taken, the coordinated systems <br />would be in serious jeopardy of not being able to sustain current <br />levels of services. We understand the reason for the proposal is' <br />the perception that costs through the CTC system are higher than <br />can be purchased directly by the Medicaid agency. <br />in order to react to any possible proposal., please fax to us ASAP <br />the impact to your area should this proposal be presented. Please <br />also provide examples of how the CTC has saved Medicaid funds or <br />provided for better accountability in the form of billing <br />verification, call intake eligibility, CTC monitoring functions -for <br />subcontractors and coordination with other cost effective services <br />(i.e. use of the public transit system, where available). The <br />commission will compile this data and provide testimony to the <br />appropriate legislative committees, should this proposal come <br />forth. <br />Thank you.,for your assistance. <br />Commissioner Eggert received a letter from FACo pointing out <br />that some branch of the government was trying to separate Medicaid <br />transportation from the programs of Transportation for the <br />Disadvantaged and asking that we give examples of why our type of <br />program would be more effective. She felt that the County should <br />continue to ask that all of this to be within a program where we <br />can really cut costs. She pointed out that the Legislature may <br />attempt to exempt Medicaid from the Transportation for the <br />Disadvantaged program. She requested that staff supply the <br />requested information and that the Board authorize a letter from <br />the Chairman in opposition to this action. <br />ON MOTION by Commissioner Tippin, SECONDED by <br />Commissioner Adams, the Board unanimously authorized <br />the Chairman to execute a letter in opposition to <br />exempting Medicaid from the Transportation for the <br />Disadvantaged program, supplying the information <br />requested by the State of Florida Commission for the <br />Transportation Disadvantaged. <br />SOLID WASTE DISPOSAL DISTRICT <br />The Board of County Commissioners adjourned at 10:38 a.m. to <br />meet as the Board of Commissioners of the Solid Waste Disposal <br />District. Those Minutes are being prepared separately. <br />Chairman Macht was called away due to a family emergency at <br />10:38 a.m. The remaining Board of County Commissioners reconvened <br />at 11:25 a.m. to consider the following: <br />FEBRUARY 14, 1995 40 <br />