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Board of County Commissioners Meeting Minutes - Final December 17, 2019 <br />15. A.1.19-1149 Approval of Public Emergency Medical Transportation Letter of Agreement <br />between Indian River County Emergency Services District and the Agency for <br />Health Care Administration <br />Recommended Action: Staff recommends, with the concerns listed in the staff report, the approval and <br />execution of the Letter of Agreement between the Indian River County Emergency <br />Services District and the Agency for Health Care Administration. <br />Attachments: Staff Rem <br />PEMT Letter of Agreement <br />Email Dated Dec 3, 2019 <br />Florida Statute 409.908 <br />Emergency Services Director and Fire Chief Tad Stone expressed his concern with <br />the Letter of Agreement with the Agency for Health Care Administration (ARCA). <br />He explained that AHCA had significantly changed the process for how the County <br />received the Public Emergency Medical Transportation (PEMT) payment. He <br />further explained that AHCA requested an upfront deposit of funds from the <br />County, and from providers throughout the County. He added that AHCA would <br />use the pool of deposits as a match to obtain a Federal Grant. Chief Stone <br />anticipated that the County would receive a return of their deposit from AHCA, as <br />well as the PEMT funding that the County receives annually to help support <br />Medicaid transport. He suggested limiting the agreement to a period of one (1) <br />year. <br />Vice Chairman Flescher agreed with Chief Stone's concerns and supported limiting <br />the agreement to a one (1) year period. <br />Commissioner O'Bryan suggested that the County notify State Representative Erin <br />Grall and State Senator Debbie Mayfield to make them aware of the issue. <br />The Chairman opened the floor for public discussion; there was none. <br />A motion was made by Vice Chairman Flescher, seconded by Commissioner O'Bryan, <br />to approve staffs recommendation, and to limit the Letter of Agreement with the <br />Agency for Health Care Administration to a one (1) year period. The motion carried <br />by the following vote: <br />Aye: 5- Chairman Adams, Vice Chairman Flescher, Commissioner Zorc, Commissioner <br />O'Bryan, and Commissioner Solari <br />B. Solid Waste Disposal District <br />C. Environmental Control Board <br />16. ADJOURNMENT <br />There being no further business, the Chairman adjourned the meeting at 10:30 a.m. <br />Indian River County Florida Page 14 <br />