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Board of Commissioners ESD Meeting Minutes- Final December 17, 2019 <br /> 15. SPECIAL DISTRICTS AND BOARDS <br /> A. Emergency Services District <br /> The Board of County Commissioners reconvened as the Board of Commissioners of <br /> the Emergency Services District. <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 Report <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 (AHCA). <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 /> Grail 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 staff's 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 /> Indian River County Florida Page 1 <br />