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Board of County Commissioners Meeting Minutes - Final September 26, 2023 <br />Director of Emergency Services Chief David Johnson sought consideration of a letter <br />of agreement between the Emergency Services District and the Agency for Healthcare <br />Administration (AHCA) to facilitate Medicaid reimbursement when Medicaid patients <br />were transported. The agreement would require a payment of $363,337.25 upfront <br />and would result in a return of $864,265.59 to the County. This additional funding <br />would be utilized to enhance the current ambulance fleet and to purchase more <br />ambulances. <br />A motion was made by Commissioner Flescher, seconded by Commissioner Loar, <br />to approve staffs recommendation. The motion carried by the following vote: <br />Aye: 5 - Chairman Earman, Vice Chairman Adams, Commissioner Flescher, Commissioner <br />Lear. and Commissioner Moss <br />The Board of Commissioners of the Emergency Services District reconvened as the <br />Board of County Commissioners continuing with Item 9.A. <br />B. Solid Waste Disposal District <br />C. Environmental Control Board <br />16. ADJOURNMENT <br />Chairman Earman announced that the meeting on October 3, 2023 would continue <br />the tradition of College Game Day established by former Commissioner Peter <br />O' Bryan. <br />There being no further business, the Chairman adjourned the meeting at 11:16 a.m. <br />Indian River County Florida Page 20 <br />