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CONSENT <br />After the final ranking was published, the current provider, ranked third by the committee, <br />emailed the Division, noting that the current term of the agreement with Change does not <br />end until April 30, 2024. The agreement, authored by the vendor, includes automatic one- <br />year extensions, unless either parry provides a written 90 -day notice of intent to terminate. <br />The Purchasing Manager reached out to Change and asked for consideration of an earlier, <br />mutually -acceptable, termination date. This request was rejected by Change. <br />After the Board's award of the RFP, staff will submit written notice of our intent to <br />terminate the agreement with Change, effective no later than April 30, 2024, which is the <br />last date of the current term. <br />The term of the new agreement is anticipated to be three years, with two three-year <br />renewals available. The agreement will be presented for consideration at an upcoming <br />Board meeting. <br />FUNDING• <br />The current and proposed fees for ambulance billing services are shown in the table below: <br />Percentage of Net Collections 6.8% <br />4.75% <br />Additional Per Medicaid patient $13.50 <br />$9.50 <br />Per client prior claim (previous month) $7.50 <br />n/a <br />Prior A/R Gross Collections 10% <br />n/a <br />EMS IMC's fees also include 6% of the reimbursements received by the County under the <br />Public Emergency Medical Transportation ("PEMT") program (through the Florida Agency <br />for Health Care Administration) for Medicaid Fee for Service provided by their partner, <br />Public Consulting Group ("PCG"). <br />Funding for ambulance billing comes from the Fire Rescue/Other Professional Services <br />Account. Fees paid to Change in the previous fiscal year were $460,261. Fees paid under <br />the existing agreement over the past 22 years total more than $6.8 million. Total fees paid <br />to the new provider are anticipated to be lower. <br />Account Number <br />Account Description <br />Current <br />Balance <br />11412022-033190 <br />Emergency Services District/Fire <br />$21'142 <br />Rescue Other Professional Services <br />RECOMMENDATION: <br />Staff recommends the Board approve the final ranking of firms, authorize staff to execute <br />final negotiations with EMS Management & Consultants, and authorize the Purchasing <br />Manager to issue the notice of intent to terminate the existing agreement with the current <br />provider. <br />10 <br />