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MAI INDIAN RIVER COUNTY, FLORIDA MEMORANDUM TO: Honorable Board of County Commissioners THROUGH: Jason E. Brown, County Administrator THROUGH: Tad Stone, Director Department of Emergency Services FROM: Erin Baskins, Staff Assistant IV Department of Emergency Services DATE: September 13, 2019 SUBJECT: Request from Cleveland Clinic Martin Health for a Class B Certificate of Public Convenience and Necessity to provide Non - Emergency ambulance inter -facility medical transports at the ALS/BLS level. It is respectfully requested that the information contained herein be given formal consideration by the Board of County Commissioners at the next scheduled meeting. Background: On August 31, 1995, the Transportation Disadvantaged Local Coordinating Board recommended to the County Commission that an ordinance be adopted to require a Certificate of Public Convenience and Necessity (COPCN) for the regulation of wheelchair services. On September 19, 1996, the Indian River County Board of County Commissioners approved regulations governing ambulance services as outlined in County Ordinance, Chapter 304, Life Support and Wheelchair services. Analysis: On July 9, 2019, Cleveland Clinic Martin Health submitted an application for Class B Certificate of Public Convenience and Necessity to provide Non -Emergency ambulance inter -facility medical transports at the ALSBLS level. Pursuant to the Indian River County Code referenced above, staff initiated an investigation to be made regarding the application and the need for the additional non- emergency transportation service in the County. There are three (3) other providers who hold a Class B certificate in the County as follows: American/All County Ambulance Coastal Health Services of Brevard, Inc. We Care of the Treasure Coast At an informational meeting, which was held on August 22, 2019, all current providers, 125