Loading...
HomeMy WebLinkAboutMINUTES - 12082015 - FPD PR.1RECOMMENDATION(S): PRESENTATION on federal funding programs available to the Contra Costa County Fire Protection District for its ambulance transport program. FISCAL IMPACT: Presentation only. No fiscal impact. BACKGROUND: The Contra Costa County Fire Protection District, as a public 911 ambulance service provider, may be eligible for supplemental federal reimbursement for the cost of services provided to certain patients with government insurance. The federal funding programs are called Ground Emergency Medical Transport (GEMT) and Inter-Governmental Transfer (IGT). Funding from these programs is available to fire protection district's that provide ambulance services to assist in the recovery of costs associated with providing ambulance services to patients with government insurance (e.g., Medicaid). Medi-Cal (California's version of Medicaid) reimburses ambulance providers at rates significantly less that the cost of providing ambulance services. California law prohibits ambulance providers from billing the patient for the difference between the ambulance cost and Medi-Cal reimbursement. Therefore, APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 12/08/2015 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS Contact: Jeff Carman, Fire Chief (925) 941-3500 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: December 8, 2015 David Twa, County Administrator and Clerk of the Board of Supervisors By: , Deputy cc: PR.1 To:Contra Costa County Fire Protection District Board of Directors From:Jeff Carman, Chief, Contra Costa County Fire Protection District Date:December 8, 2015 Contra Costa County Subject:Presentation on Federal Funding Programs Available to Fire-Based Ambulance Service Providers BACKGROUND: (CONT'D) ambulance services operated by public agencies that meet program requirements can seek cost-based reimbursement for certain patients who are covered by Medi-Cal. This presentation will provide an overview of the programs, describe the eligibility requirements, and provide an estimation of potential supplemental reimbursement funding available to the District. CONSEQUENCE OF NEGATIVE ACTION: This item is an informational presentation item only. CHILDREN'S IMPACT STATEMENT: No impact. ATTACHMENTS GEMT/IGT PowerPoint Economic Update CCCFPD Ambulance Service A. P. Triton LLC© 1 GOALS Provide for a stable system Reduce, if not eliminate, financial risk Generate a positive cash flow for reinvestment 2 ACHIEVEMENTS System created at lower than actual collections Partnership formed to allow Federal participation Designed to promote cost efficiencies 3 MYTHS AND UNCERTAINTIES Reduction of insurance benefits Reduction in Medi-Cal reimbursement 26% down to 24% Excessive co-pays reduce reimbursements 4 FACTS Increased call volume + actual collection = revenue up GEMT is the law of the land and may double soon IGT’s are retrospective and unknown until applied for Partnership constructed to be self-sustaining without supplements 5 WHERE’S THE MONEY? Increased call volume + actual billing/collection = $3.9 million GEMT as of today = $1.6 million Total revenue 1st year based on actuals = $5.5 million 6