Agenda 12/12/2017 Item #16E 312/12/2017
EXECUTIVE SUMMARY
Recommendation to renew the Collier County Emergency Medical Services Division's Certificate of
Public Convenience and Necessity for Advanced Life Support Transport to provide Class 1
Advanced Life Support (ALS) for one year and authorize the Chairman to execute the Permit and
Certificate.
OBJECTIVE: To allow Emergency Medical Services to continue to provide Advanced Life Support
(ALS) services to the citizens and visitors to Collier County.
CONSIDERATIONS: Collier County Emergency Medical Services (EMS) is currently operating under
a COPCN for ALS transport. Section 10 of Collier County Ordinance No. 04 -12, as amended, allows
renewal certificates to be approved routinely by the Board upon advice of the County Manager or his
designee. The Director of the Bureau of Emergency Services is the County Manager’s designee.
In addition, Section 10 provides that renewals be based on the same standards as the granting of the
original COPCN along with such other factors as may be relevant . The minimum requirements for an
application to be deemed complete are set forth in the Collier County Ordinance No. 04 -12, as amended,
Section 5. The application is back-up to this item.
In accordance with Section 10 of Ordinance No. 04-12, as amended, the Director of the Bureau of
Emergency Services recommends approval based on his finding that there is a public necessity for EMS
to provide the service and that all other requirements under Ordinance No. 04-12 have been met.
If this item is approved by the Board, the renewal COPCN and Permit will commence on January 1, 2018
and expire on December 31, 2018.
FISCAL IMPACT: There is no fiscal impact associated with this action.
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this
action.
LEGAL CONSIDERATIONS: The Ordinance allows the renewal COPCN to be approved routinely by
the Board without a hearing. If a hearing is held, the Board must find that the standards set forth in
Ordinance No. 04-12, Section 7 have been satisfied based on competent evidence as follows:
“The Board of County Commissioners shall not grant a certificate unless it shall find, after public hearing
and based on competent evidence, that each of the following standards has been satisfied:”
(1). That there is a public necessity for the service. In making such determination, the Board of
County Commissioners shall consider, as a minimum, the following factors:
a. The extent to which the proposed service is needed to improve the overall emergenc y
medical services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of service
and cost of service.
c. The effect of the proposed service on the overall cost of EMS service in the County.
d. The effect of the proposed service on existing hospitals and other health care facilities.
e. The effect of the proposed service on personnel of existing services and the availability of
sufficient qualified personnel in the local area to adequately staff all existing services.
12/12/2017
(2) That the applicant has sufficient knowledge and experience to properly operate the proposed
service.
(3) That, if applicable, there is an adequate revenue base for the proposed service.
(4) That the proposed service will have sufficient personnel and equipment to adequately cover the
proposed service area.”
Ordinance No. 04-12, Section 8 provides:
“In making the determinations provided for in Section 7 above, the Board may, in its sole discretion,
appoint a Hearing Officer to hold a public hearing and to make factual findings and conclusions as a
result of the hearing. Should a Hearing Officer be appointed, said Hearing Officer shall render a written
report to the Board within 30 days of the hearing, which report shall contain the officer's findings and
conclusions of fact, and a recommended order. The findings and conclusions of fact shall be binding
upon the Board, but the recommended order shall be advisory only.”
This item is approved for form and legality and requires a majority vote for Board approval. -JAB
RECOMMENDATION: To accept the Director of the Bureau of Emergency Services’ findings and
authorize the Chairman to execute a Permit and renewal COPCN to Collier County Emergency Medical
Services for Class 1 ALS Transport.
Prepared by: Artie Bay, Supervisor, Emergency Medical Services
ATTACHMENT(S)
1. Memo from Chief Butcher to Manager Ochs for 2018 license (DOC)
2. Attach A - Vehicle List (PDF)
3. Attach B - Schedule of Fees (PDF)
4. Attach C - Memo Summers to Ochs_doc (DOC)
5. 2018 Certificate (PDF)
6. 2018 Permit (PDF)
12/12/2017
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.3
Doc ID: 4122
Item Summary: Recommendation to renew the Collier County Emergency Medical Services
Division's Certificate of Public Convenience and Necessity for Advanced Life Support Transport to
provide Class 1 Advanced Life Support (ALS) for one year and authorize the Chairman to execute the
Permit and Certificate.
Meeting Date: 12/12/2017
Prepared by:
Title: Supervisor - Accounting – Emergency Medical Services
Name: Artie Bay
11/02/2017 8:16 AM
Submitted by:
Title: Division Director - EMS Operations – Emergency Medical Services
Name: Tabatha Butcher
11/02/2017 8:16 AM
Approved By:
Review:
Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 11/02/2017 9:18 AM
Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 11/04/2017 1:18 PM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 11/06/2017 9:04 AM
Administrative Services Department Len Price Level 2 Division Administrator Review Completed 11/16/2017 10:49 AM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 11/16/2017 11:59 AM
Office of Management and Budget Laura Wells Additional Reviewer Completed 11/16/2017 12:13 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 11/28/2017 10:33 AM
County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 11/29/2017 12:06 PM
Board of County Commissioners MaryJo Brock Meeting Pending 12/12/2017 9:00 AM
Emergency Medical Services
Memorandum
To: Leo Ochs, County Manager
From: Tabatha Butcher, Chief
Emergency Medical Services Department
Date: November 3, 2017
Subject: Certificate of Convenience and Necessity for Collier County
Emergency Medical Services Department
Per Collier County Ordinance Number 04-12, as amended, please accept the following information for
renewal of this required certificate:
1. Collier County Emergency Medical Services Department is operated by the County’s Board of
County Commissioners located at:
3299 East Tamiami Trail
Naples, Florida, 34112
The Board of County Commissioners is comprised of the following individuals:
Donna Fiala, District 1
Andy Solis, District 2
Burt Saunders, District 3
Penny Taylor, District 4
William L. McDaniel, Jr., District 5
The age of each member may be located at the Board of County Commissioner’s Office.
2. Collier County Emergency Medical Services Department will continue to provide service to the
2,032 square miles encompassing Collier County.
3. Collier County Emergency Medical Services Department has a total of fifty-three (53) State
licensed vehicles. Forty (40) of these are licensed ground transport ambulances and one (1) air
ambulance (helicopter). There are also twelve (12) licensed ALS vehicles (non-transport). Of the
above, twenty-five (25) licensed ground ambulances, and the air ambulance (helicopter) operate
24 hours and day, seven days a week. At least (1) additional ground transport licensed ambulance
may operate 12 hours a day, seven days a week (as needed) during the seasonal months and is
taken out of the reserve ambulances. The remaining, fourteen (14) licensed ALS ground
transport ambulances are held in reserve. (Attachment A).
Emergency Medical Services
4. Collier County Emergency Medical Services Department has one main office and twenty-five
(25) substations located throughout Collier County at the following locations:
Headquarters 8075 Lely Cultural Pkwy. Naples, Florida
Station 1 835 8th Avenue South Naples, Florida
Station 2 977 26th Avenue Naples, Florida
Station 10 14756 Immokalee Road Naples, Florida
Station 20 4798 Davis Blvd. Naples, Florida
Station 21 11121 E. Tamiami Trail Naples, Florida
Station 22 4375 Bayshore Drive Naples, Florida
Station 23 7227 Isle of Capri Road Naples, Florida
Station 24 2795 Airport Road North Naples, Florida
Station 25 8320 Collier Blvd Naples, Florida
Station 30 112 South 1st Immokalee, Florida
Station 31 1107 Carson Road Immokalee, Florida
Station 32 4819 Ave Maria Blvd. Ave Maria, Florida
Station 40 1411 Pine Ridge Rd. Naples, Florida
Station 42 7010 Immokalee Road Naples, Florida
Station 43 16325 Vanderbilt Drive Naples, Florida
Station 44 766 Vanderbilt Beach Road Naples, Florida
Station 46 3010 Pine Ridge Road Naples, Florida
Station 48 16280 Livingston Road Naples, Florida
Station 50 1280 San Marco Road. Marco Island, Florida
Station 60 201 Buckner Avenue Everglades, Florida
Station 70 4741 Golden Gate Parkway Naples, Florida
Station 71 95 13th Street SW Naples, Florida
Station 75 4590 Santa Barbara Blvd. Naples, Florida
Station 76 490 Logan Blvd Naples, Florida
Station 90 175 Isle of Capri Road Naples, Florida
Med-Flight1 2375 Tower Drive Naples, Florida
5. Collier County Emergency Medical Services Department has been licensed and certified to
provide Advanced Life Support ambulance service in Collier County since April 6, 1981.
6. Three (3) Collier County residents to act as references:
Nancy Laschied 4500 Gulfshore Blvd. N. - #903 Naples, Florida 34103
Dr. James Hampton 823 Bentwood Drive Naples, Florida 34108
Scott Lowe 6101 Pine Ridge Rd Naples, Florida 34119
7. Collier County Emergency Medical Services Department schedules of service fees
(Attachment B).
8. November 3, 2017 Memorandum from Dan Summers, Director of Bureau of Emergency Services
to County Manager Ochs stating no further information required.
9. Collier County Emergency Medical Services Department financial statement is available in
Collier County’s Finance Department.
Attachment "A"
Permit #ALS Year Make Model VIN Assigned
1453 AT 1999 EUROCOPTER EC135 N911CK MHQ
13313 T 2005 INTERNATIONAL 4300 1HTMNAAM85H689274 22
13312 T 2003 INTERNATIONAL 4400 1HTMRAAMX3H573348 7
12441 T 2004 STERLING ACETERA 2FZACFCSX4AM52868 9
12442 T 2004 STERLING ACETERA 2FZACFCS84AM52867 10
14121 T 2007 STERLING ACETERA 2FZACFCS67AY33962 29
14124 T 2007 STERLING ACETERA 2FZACFCS87AY33963 32
14630 T 2008 STERLING ACETERA 2FZACFDJ28AZ51748 36
14632 T 2008 STERLING ACETERA 2FZACFDJ18AZ51750 5
14635 T 2008 STERLING ACETERA 2FZACFDJ78AZ51753 18
18881 T 2008 STERLING ACETERA 2FZACFDJ58AZ51749 8
19305 T 2004 STERLING ACETERA 2FZACFCS44AM52865 17
20549 T 2008 STERLING ACETERA 2FZACFDJ18AZ51747 35
20550 T 2007 STERLING ACETERA 2FZACFCS17AY33965 34
16166 T 2010 FORD F550 1FDAF5GR7AEB25355 2
16167 T 2010 FORD F550 1FDAF5GR9AEB25356 12
16168 T 2010 FORD F550 1FDAF5GR8AEB39233 23
16169 T 2010 FORD F550 1FDAF5GRXAEB39234 26
16170 T 2010 FORD F550 1FDAF5GR1AEB39235 28
17255 T 2012 FORD F550 1FDUF5GT8CEB23691 1
17256 T 2012 FORD F550 1FDUF5GTXCEB23692 25
17257 T 2012 FORD F550 1FDUF5GT1CEB23693 27
17258 T 2012 FORD F550 1FDUF5GT3CEB23694 37
18087 T 2013 FORD F550 1FDUF5GT0DEA35168 38
18088 T 2013 FORD F550 1FDUF5GT7DEA35166 24
18089 T 2013 FORD F550 1FDUF5GT2DEA35169 15
18090 T 2013 FORD F550 1FDUF5GT9DEA35167 6
18866 T 2015 FORD F550 1FDUF5GT7FEA64024 Truck 14
18867 T 2015 FORD F550 1FDUF5GT9FEA64025 Truck 31
18868 T 2015 FORD F550 1FDUF5GT0FEA64026 Truck 39
18869 T 2015 FORD F550 1FDUF5GT2FEA64027 Truck 40
18870 T 2015 FORD F550 1FDUF5GT8FEA98764 Truck 41
19044 T 2015 Ford F550 1FDUF5GT8FEC82389 Truck 4 - CC2-1023
Attachment "A"
19046 T 2015 Ford F550 1FDUF5GT6FEC82391 Truck 30 - CC2-1025
19047 T 2015 Ford F550 1FDUF5GT8FEC82392 Truck 42 - CC2-1026
19048 T 2015 Ford F550 1FDUF5GTXFEC82393 Truck 43 - CC2-1027
20443 T 2016 FORD F550 1FDUF5GT8GED28644 3
20444 T 2016 FORD F550 1FDUF5GT6GED28643 11
20445 T 2016 FORD F550 1FDUF5GTXGED28645 19
20548 T 2015 Ford F550 1FDUF5GT4FEC82390 Truck 20 - CC2-1024
20437 T 2015 FORD F650 3FRWF6GZ1FV675309 33
19303 N 2015 Ford EXPLORER 1FM5K8AR0FGC26952 CC2-1076 -BC80
19304 N 2015 Ford EXPLORER 1FM5K8AR2FGC26953 CC2-1085
19797 N 2016 Ford EXPLORER 1FM5K8ARXGGAO8079 AED - CC 1130
19839 N 2016 FORD EXPLORER 1FM5K8AR5GGC07850 BC81 - CC2-1314
20438 N 2017 FORD EXPLORER 1FM5K8AR0HGB64925 CC2-1628
20439 N 2017 FORD EXPLORER 1FM5K8AR2HGB64926 BC80 CC2-1630
20440 N 2017 FORD EXPLORER 1FM5K8AR4HGB64927 CC2-1629
20441 N 2017 FORD EXPLORER 1FM5K8AR6HGB64928 CC2-1632
Requested N 2013 FORD EXPLORER 1FM5K8R8DGA18380 CC2-668
Requested N 2016 FORD EXPLORER 1FM5K8AR2GGA46941 CC2-1135
Requested N 2017 FORD EXPLORER 1FM5K8AR7HGC57022 CC2-1631 Medflight
Requested N 2017 FORD EXPLORER 1FM5K8AR3HGA36372 CC2-1401 BC82
1 Air Transport 40 Transport 12 Non-transport 53 Total
Attachment "A"
Attachment B
RESOLUTION NO. 08- 27
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, PROVIDING FOR UP -DATED EMS USER
FEES FOR COLLIER COUNTY AMBULANCE SERVICES, UP -DATED
BILLING AND COLLECTION PROCEDURE, HOSPITAL TRANSPORT
BILLING AND FEES, ADJUSTMENTS OF EMS USER FEES PURSUANT
TO COLLIER COUNTY ORDINANCE NO. 96-36, WAIVER OF EMS USER
FEES FOR SPECIAL EVENTS, AND AN UPDATED PROCEDURE FOR
APPROVING HARDSHIP CASES AND PAYMENT PLANS; SUPERSEDING
RESOLUTION NO. 07-192; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, Collier County Emergency Medical Services (hereinafter referred to as
"EMS") provides ambulance services to the residents and visitors of Collier County; and
WHEREAS, the Collier County EMS operating budget is funded exclusively through ad
valorem taxes and user fees; and
WHEREAS. the Board of County Commissioners recently entered into an Agreement with
Advanced Data Processing, Inc. (hereinafter referred to as to "Billing Consultant") to provide
collection services for ambulance services and associated fees; and
WHEREAS, this Resolution Is Intended to apply irrespective of whether EMS billing staff,
Advanced Data Processing, Inc., or any other billing consultant is responsible for the collection of
fees for ambulance services; and
WHEREAS, Collier County Ordinance No. 96-36 § 5 provides that the user fees for
ambulance services may be established by Resolution of the Board of County Commissioners
(hereinafter referred to as to "the Board").
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
SECTION ONE: EMS USER FEES
BASE uRATES:
SERVICE LEVELS
CODES
BASECHARGES
A. EMS — BLS NON -EMERGENCY
A0428
$
700,00
B. EMS—BLS EMERGENCY
A0429
$
700.00
C. EMS—ALS I NON -EMERGENCY
A0426
$
700,00
D. EMS — ALS I EMERGENCY
A0427
$
700.00
E. EMS — ALS 2EMERGENCY
A0433
$
750.00
F. EMS—SPECIALTY CARE
A0434
$
800.00
G. EMS—TREATMENT W/O TRANSPORT
A0098
$
175.00
H. EMS—HELICOPTER
A0431
S
5,900.00
MILEAGE RATES:
SERVICE LEVELS
CODES
MILEAGE
CHARGE
A. EMS—GROUND UNIT
A0425
$
12.25
(Minimum Charge of 1 mile and no cap)
B. EMS—AIRUNIT
A0436
$
110.00
SPECIAL EVENTS AND M(SCEI i ANFOIIS RATS;
SERV ICE LEVELS
RATES
A TWO(2)MEDICS/ONE ALS VEHICLE (PER HOUR)
$
150.00
B. ONE (I) MEDICINO VEHICLE (PER HOUR) $ 50.00
COPIES*;
Subject to statutory exemptions, "public records" are required by Chapter 119, F.S. to be
open to inspection and copying. Consistent with Chapter 119, Resolution No. 07-327 establishes
copying fees as follows:
COPIES OF DOCUMENTS RATES
A. One-sided copy which is 14 incites by 8 % inches or less S .15
B. Two-sided copy which is 14 inches by 8 %r inches or less $ .20
COPY SERVICES
The actual cost of duplication for all other copies will be charged. The first hour of cost of
duplication will not be charged. "Actual cost of duplication" is defined in § 119.07(l), F.S. as " the
cost of the material and supplies used to duplicate the record," but does not include the labor cost
and overhead cost associated with such duplication.
*Copying fees are subject to change only to the extent that either Chapter 119, RS. or
Resolution No. 07-327, or both, are amended, replaced, or superseded.
PAST DUE ACCOUNTS
INTEREST ON PAST DUE ACCOUNTS $ 1 % monthly
SECTION TWO: BILLING COLLECTION PROCEDURE
The following shall be the minimum guidelines for billing and collection procedures for
ambulance service fees and charges:
A. Initial fees and charges for ambulance service(s) shall be assessed either prior to or
following the provision of service, as service dynamics reasonably allow. Unpaid fees and
charges, subsequent to time of service shall be reflected in an accounts receivable subsidiary
ledger system to be maintained by the EMS Department,
B. EMS Billing Staff will transmit all data necessary to Billing Consultant to process the claim.
I . Billing Consultant will send an initial bill to the service recipient's or responsible
party's Insurance carrier as soon as insurance information has been received,
validated, and entered by the Billing Consultant on the amount.
2. When a valid patient address is present, the Billing Consultant will follow the patient
statement cycle outlined below.
I. An initial statement for ambulance services, including the HIPAA notice of
Privacy practices shall be sent fourteen (14) or more days after the data is
entered by the Billing Consultant, but no later than 30 days oiler service has
been provided.
ii. If a non -Medicaid account remains unpaid, statements will be sent to the
patient no later than every 60 days from the last filed data. If a claim is denied,
a bill will be sent to the service recipient or responsible party.
Ill. For Medicaid accounts, if the claim is denied because of no coverage at the
time of service, or because it was determined to be not medically necessary to
be transported by ambulance, a bill will be sent to the service recipient or
responsibly party.
iv. In the event the service recipient or responsible party does not have or does not
provide proof of insurance coverage, statements will be seat to the patient no
later than every 60 days front the last statement date.
C. The Billing Consultant will provide a file with patients to be sent to collections to the
County's contracted collection agency when all attempts to collect on the account have been
exhausted by the Billing Consultant. 'rho County may direct the Billing Consultant to not
send a pationt to collections at any time. Billing Consultant may send a patient to
collections prior to exhaustion of all collection efforts when:
I. The patient account has alt invalid address.
2. Billing Consultant is directed by County to send a patient to collections.
D. Interest will be assessed at 1% per month on all accounts that are sent to the County's
contracted collection agency.
E. A reasonable and customary payment plan will be made available for all service recipients
or responsible parties. Should the service recipient or responsible party at the time fail to
meet the terms and conditions of the payment plan for a period of (60) sixty days, the unpaid
balance shall reenter the collections process set forth in Section C. above at the point in the
collections process at which it was taken out for a payment plan to be administered.
F. When ambulance service bill(s), at the any stage in this billing and collection procedure, no
returned because the Postal Service cannot effectuate delivery, the EMS Billing Section
shall make reasonable effort to ascertain the correct mailing address. If reasonable efforts to
ascertain a correct address fail, the aeeount(s) may be considered for other collection
alternatives.
0. Nothing contained in this Section shall preclude reasonable telephone or other appropriate
contact for billing and collection purposes, in accordance with all applicable laws.
H. Throughout the fiscal year, the EMS Billing Section shall review all past due accounts and
report to the Board of County Commissioners on an annual basis, of all past due accounts
which are believed to he uncollectible.
I. The Board may, after reviewing these past due accounts and after finding that diligent
efforts at collection have proven unsuccessful, remove these past due accounts front active
accounts receivable in accordance with generally accepted accounting procedures and
pursuant to law by Resolution.
J. Probatc Estate Cedes, Should a decedent have an unpaid balance for ambulance services,
the following shall occur:
1. The decedent's Personal Representative will notify EMS Billing Staff that a
probate estate has been filed with the Probate Court.
2. EMS Billing Staff shall ensure that a Notice of a Claim is timely filed with the
Probate Court.
3. EMS Billing Staff shall ensure that the Office of the County Attorney is timely
notified of such claim and provided with: 1) a copy of ambulance bill(s), 2) all
correspondence between EMS Billing Staff/Billing Consultant) and Personal
Representative, 3) Notice of Claim filed with the Probate Estate, and any other
information necessary to pursue the claim.
4. The Office of the County Attorney shall take all reasonable actions that are
necessary to pursue such claim, including but not limited, to filing a lawsuit in
the County Court to pursue such claim.
5. If the estate has assets and $10,000 or less is owed for ambulance services, the
EMS Director and the County Atlomey (or his designee) are authorized to take
reasonable actions to reach a settlement with the Personal Representative or his
attorney, Should a settlement be reached, the EMS Director and the Comity
Attorney (or his designee) are authorized to execute a satisfaction and/or release
on behalf of fire County. If the estate has assets and in excess of 510,000 is owed
for ambulance services, any negotiated settlementtcompromisc of the ambulance
billing claim shall be approved by the Board of County Commissioners. If the
estate has nominal assets or no assets, the County Manager may waive the rates,
fees, and charges as set forth in Ordinance No. 96.36, as it may be amended,
replaced, or superseded.
K. All accounts with a balance of 510 or less will be written off.
SECTIO THREE; HOSPITAL TRANSPORT BILLING AND FEES
A. The fees set forth in Section One of this Resolution shall apply to ambulance transports that
occur between a hospital's facilities.
B. Should a hospital within the boundaries of Collier County have the need for a transport of a
patient between hospital facilities located within the boundaries of Collier County,
ambulance transport will be provided.
C. Should a hospital within the boundaries of Collier County have the need for a transport of a
patient to hospital facilities located mrlside the boundaries of Collier County, the County,
will subject to equipment and manpower availability, at its sole discretion, utilize its
resources to provide patient transport,
D. Hospitals requesting ambulance transports shall be invoiced directly for ambulance transport
service on a monthly basis.
SECTION FOUR; ADJUSTMENT OF EMS USER FEES
The following shall be minimum guidelines for adjustments to ambulance service fees. The
Board of County Commissioners, in accordance with criteria established by the enabling Ordinance,
may authorize other adjustments.
A. Medicare and Medicaid Adjustments Contractual adjustments under Medicare and/or
Medicaid assignment will be made In accordance with applicable Medicate and/or
Medicaid rules and regulations.
D. Victim's Compensation Contractual Adjustments Contractual adjustments will be
made in accordance with applicable state, federal and local rules and regulations.
C. worker's Compensation ComrqcIWj Adjjustmen�t . Contractual adjustments will he
made in accordance with applicable state, federal and local rules and regulations.
D. Corpse v Employee Adjustments. Board of County Commissioners and Constitutional
Officers' employees that have Primary coverage under Collier County's insurance policy
will be responsible for any deductibles, co-payments or unpaid balances. An employee
may dispute his/her ambulance charge in accordance with procedures set forth in
Ordinance No. 96-36.
E. C1101)usf171care Adiustment . Contractual adjustments will be made In accordance
with applicable Champuslfricare rules and regulations.
F. Railroad Retirement Adhistments. Contractual adjustments will be made in accordance
with applicable state, federal and local rules and regulations pertaining to Railroad
Retirement Adjustments.
O. Social Services Adjustments. Contractual adjustments will be made in accordance with
rules established by the County Manager and memorialized by a memorandum of
understanding executed by the Social Services Director and the EMS Director.
SECTION FIVE: WAIVER OF EMS USER FEE FOR SPECIAL EVENTS,
Pursuant to Ordinance No. 96-36, and from the effective date of this Resolution, user fees
for EMS ambulance stand-by services may be waived if the Board finds that a valid public purpose
has been established in recognition of their charitable contributions to the Community.
SECTIONSIX: HARDSHIP CASES AND PAYMENT PLANS.
The Board recognizes that certain service recipients may need to be identified and processed
as hardship cases. Payment plans will be established pursuant to the minimum guidelines set
forth in this Resolution.
A. Hardship cases will be established in accordance with the Federal Poverty guidelines, as
used by the Social Services Department of Collier County.
B. Payment plans for hardship cases will be set up on a monthly basis, with a minimum
payment of $10.00 per month. Hardship eases, placed on a payment plan will not accrue
interest or be placed into collection. Notwithstanding the foregoing, if a service
recipient has a payment plan and does not make the agreed scheduled payments for a
period longer than two (2) months, the account will be fumed over to the County's
contracted collection agency and interest will begin to accrue.
SECTION SEVEN: SUPERCISION OF RESOLUTION 07-192
This Resolution shall supersede Resolution No. 07-192
SECTION EIGHT: EFFECTIVE DATE
This Resolution shall become effective on January 29, 2008
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County, Florida, this XI"° dayof Tntd,t!r 2008.
ATTEST:`
DWIGHT E. BROCK;1rLERK
�ppilSAlktofortn d
legal suMclency:
Jennilgr A. Belpedib
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, F ORIDA
By: 1/29/111
TO NNIN , CHA
ATTACHMENT C
M E M O R A N D U M
TO: Leo Ochs, County Manager
FROM: Dan Summers, Director Bureau of Emergency Services Division
DATE: November 3, 2017
REF: Certificate of Convenience and Necessity for Collier County
Emergency Medical Services Department
After review of the application to renew this certificate for Collier County
Emergency Medical Services Department, no further information is required at
this time. The application is complete and sufficient.
EMERGENCY MEDICAL SERVICES
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
WHEREAS, COLLIER COUNTY EMERGENCY MEDICAL SERVICES ("EMS") provides quality Paramedic
Emergency Medical Services to the Citizens of COLLIER COUNTY; and,
WHEREAS, it has been demonstrated that there is a need for EMS to operate in this County to provide essential
services to the citizens of this County; and,
WHEREAS, EMS has indicated that it will comply with all requirements of Chapter 401, Florida Statutes governing emergency
medical telecommunications and transportation, and,
WHEREAS, the Board of County Commissioners of Collier County hereby issues a Certificate of Public Convenience and
Necessity to EMS for the Year 2018. In issuing this Certificate, it is understood that EMS will meet
the requirements of Ordinance 2004-12, as amended, applicable laws and regulations and provide service on a 24-hour
basis for the following area(s):
THE 29032 SQUARE MILES ENCOMPASSING COLLIER COUNTY
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA
Deputy Clerk PENNY TAYLOR, CHAIRMAN
Approved for Form and Legality: Effective Date: January 1, 2018
Jennifer A. Belpedio Cr� . Expiration Date: December 31, 2018
Assistant County Attorney 1`\
COLLIER COUNTY FLORIDA
Renewal of Class 1 COPCN
This Permit Expires December 31, 2018
Name of Service: Collier Coun , Emergency Medical Services
Name of Owner or Manager: Collier County Board of County Commissioners_
Principal Address of Service: 8075 LelyCultural Parkway, Naples, Florida 34113
Business Telephone: 239 252-3740
Emergency Telephone: 9-1-1
Description of Services Area: The 2,032 square miles encompassing Collier County
Number of Ambulances on 24 hour duty: 25 ground units (ambulances)
Number of Ambulances on 12 hour duty: 1 ground unit (as needed during season taken from reserve fleet.
Number of reserve Ambulances: 14
Number of non -transport ALS vehicles 12
Number of Medivac helicopter: 1
See attachment "A" for description of vehicles.
This permit, as provided in Ordinance 04-12, as amended, shall allow the above named Ambulance Service to
operate Emergency Medical Services for a fee or charge for the following area(s): Collier County until the
expiration date hereon, except that this permit may be revoked by the Board of County Commissioners of Collier
County at any time the service named herein shall fail to comply with any local, state or federal laws or regulation
applicable to the provision of Emergency Medical Services.
Issued and approved this day of , 2017.
ATTEST: BOARD OF COUNTY COMMISSSIONERS
Dwight E. Brock, CLERK COLLIER COUNTY, FLORIDA
, Deputy Clerk Penny Taylor, Chairman
Approved as to form & legality:
Jennifer A. Belpedio
Assistant County Attorney
[I 7 -EMS -00824/1374332/11