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Agenda 04/13/2010 Item #16B 1 Agenda Item No. 1681 April 13, 2010 Page 1 of 8 EXECUTIVE SUMMARY Recommendation to approve an Amendment to Agreement authorizing a rate increase to $80 per boarding for Stretcher Medicaid trips for the paratransit services provided under Collier County's Agreement with McDonald Transit Associates, Inc. d/b/a Collier Area Transit ("McDonald Transit")." OBJECTIVE: Recommendation to approve an Amendment to Agreement to the September] 5, 2009, Agreement between McDonald Transit and Collier County, pertaining to the provision of fixed route and paratransit system service and support, to allow for a ra1e increase to $80 per boarding for the subcontractor{ s) providing stretcher Medicaid trips for paratransit services under McDonald Transit Associates, Inc. CONSIDERATIONS: Collier County's contract with McDonald Transi1 Management, Inc. (Consolidated Management Contract for the Collier County Fixed Route and Paratransit Systems - Contract #05-3845) permits the use of private subcontractors to provide paratransit services subject to the prior written approval of the County. On November 12, 2009, the sole qualified subcontractor provided the required 90 days notice to McDonald Transit Associates, Inc., specifying its intent to terminate service of non-emergency stretcher trips due to escalating costs. The fare for non-emergency stretcher trips include a boarding fee plus a rate per mile. For example, under the current rate schedule the charge for a ten-mile trip in Collier County would be $43.46 ($27.56 for the boarding fee plus $15.90 for the mileage). The subcontractor requested an increase in the boarding fee to $80 per boarding and did not request an increase in the rate charge per mile. Upon notification to McDonald Transit, McDonald commenced a solicitation to obtain alternative vendors that resulted in two unfavorable responses. Additionally, McDonald Transit performed an evaluation of the industIy rates for non-emergency stretcher services and concluded that Collier County's rates were more than 60% less than what is being charged within the surrounding areas. Non-emergency stretcher service represents only I % of the paratransit service but is a needed service within this community, This service is a specialized market because there are not many vendors that have the equipment required to perform the service. Based on the market and the special ized service, it is recommended that the rate for non- emergency stretcher trip be increased to $80 per boarding and the per mile rate remain at $1.59 per mile, Even though the proposed rate increase is a significant increase from the current boarding rate of $27.56, it is still $40.00 less than either Lee or Hendry County's in county boarding rate ($120.55) and $50.00 less than either of their Out of County rate ($130.55), Further, while Collier County's mileage charge for such transports remains at $1.59 per mile, Lee and Hendry County charge at a rate of $7.79 per mile in addition to their higher boarding fee. The last rate increase for paratransit service implemented by the County was in Sep1ember 2007. Agenda Item No. 1661 April 13, 2010 Page 2 of 8 FISCAL IMPACT: The fiscal impact associated with this approval will have to be incorporated into the agreement between Collier County and McDonald Transit Associates, Inc, The additional cost associated with this amendment will be absorbed within the current operating budget in CAT Transit Enhancement Fund 426 project 61011. This increase in cost was approved by the LCB at its 3/10/10 meeting. LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County Attorney's Office and is legally sufficient for Board action-SRT. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this Executive Summary. The approval of this request will be consistent with Objectives 10 and 12 of the Transportation Element of the Growth Management Plan. RECOMMENDATION: That the Collier County Board of Commissioners approve the Amendment to Agreement providing for a rate increase of $80 per boarding for the subcontractor(s) providing Stretcher Medicaid trips for the paratransit services under McDonald Transit Associates, Inc. and authorize its Chairman to sign the Amendment. Prepared by: Michelle Edwards Arnold, Director, Alternative Transportation Modes At1achments: (1) Analysis of Stretcher Rates and Service; (2) Amendment to Agreement Item Number: Item Summary: Meeting Date: Agenda Item No. 16B1 April 13, 2010 Page 3 of 8 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 1681 Recommendation to approve an Amendment to Agreement authorizing a rate increase to $80 per boarding for Stretcher Medicaid trips for the paratransit services provided under Collier Countys Agreement with McDonald Transit Associates, Inc, dlbla Collier Area Transit (McDonald Transit), 4/13/20109:00:00 AM Date Prepared By Michelle Edwards Arnold Transportation Division Director. Alt Transportation Modes Alternative Transportation Modes 3111/201011:54:53 AM Date Approved By Michelle Edwards Arnold Transportation Division Director. Alt Transportation Modes Alternative Transportation Modes 3/11/201011:56 AM Date Approved By Gloria Herrera Transportation Division Management/Budget Analyst Transportation Administration 3/11120103:10 PM Date Approved By Scott R. Teach County Attorney Deputy County Attorney County Attorney 3115120109:14 AM Date Approved By Norm E. Feder, Ale? Transportation Division Administrator. Transportation Transportation Administration 3118/201011:50 AM Date Approved By Lisa Taylor Transportation Division Management/Budget Analyst Transportation Administration 3/19120101:56 PM Date Approved By Glama Carter Transportation Division Planner, Principal Alternative Transportation Modes 3119/20102:13 PM Date Approved By Jeff Klatzkow County Attorney 3/2212010 3:56 PM Date Approved By Pat Lehnhard Transportation Division Executive Secretary Transportation Administration 3/24/2010 12:39 PM Agenda Item No. 1681 April 13, 2010 Page 4 of 8 Approved By OMS Coordinator Date County Manager's Office Office of Management & Budget 3124/20104:03 PM Approved By Leo E. Ochs, Jr. County Manager Date County Managers Office County Managers Office 4/5120105:04 PM Agenda Item No. 16B1 April 13, 2010 Page 5 of 8 Attachment I Analysis of Stretcher Rate and Service McDonald Transit Associates, Inc. has a contract with TLC to provide paraTransit service, including stretcher service. That contract was recently renewed on October 1, 2009. Section 13 - Termination without cause, of the contract provides that contractor may terminate service with 90 days written notice. Written notice was provided by TLC on November 12, 2009. Based on that date, service would end on February 9, 2010. McDonald Transit Associates, Inc. conducted a solicitation for vendors to provide non- emergency stretcher service for CAT. The solicitation was completed in December, The following information reflects an analysis of non-emergency stretcher service for adjoining counties, Stretcher Information for surrounding counties Analysis of Stretcher Service Jurisdiction Total Population TO Population 2007 Stretcher Trips 2008 Stretcher Trips 2007 Stretcher Trips per TO Rates for Service Jurisdiction I Boarding Fee Miles $1.75 less than 10 miles;.,,~; " $75.00 $2.75 Over 10 Miles .$7.7910 Lee $130.55 $7.79 Out of county Hendry $120.55 $7.79 In County , '\' $7.79 Out of Coupty , "if". Agenda Item No. 1681 April 13. 2010 Page 6 of 8 Project Trips for the Fiscal Year Time Period # ofTrips # of Miles Estimated Cost @ $27.56 @ $1,59 10/1/08 to 9/30/09 1,248 8,873 $48,502.95 1/15/10 to 9/30/10 884 6,285 $34,356.26 Proposed # ofTrips # of Miles Increase in Time Period @ $80.00 @ $1.59 Requested Reimbursement for Medicaid 1/15/10 to 9/30/10 884 6,285 $80,713.22 $46,356.96 Agenda Item No. 1681 April 13, 2010 Page 7 of 8 AMENDMENT TO AGREEMENT McDONALD TRANSIT ASSOCIATES, INC. THIS AMENDMENT TO AGREEMENT ("Amendment") is made and entered into this day of ,2010, by and between McDonald Transit Associates, Inc., whose address is 3800 Sandshell Drive, Suite 75, Fort Worth, Texas 76137 ("Contractor") and The Board of County Commissioners of Collier County, Florida, as the governing body of Collier County ("County"). RE C I TAL S: WHEREAS, the parties entered into an Agreement dated September 15, 2009 ("Agreement"), wherein the Contractor agreed to provide Transit System Service and Support to Collier County for the Collier County Fixed Route and Paratransit Systems route operated as Collier Area Transit ("CAT''); and WHEREAS, the sole qualified subcontractor providing stretcher Medicaid trips for the paratransit services for the Contractor has provided notice of its intent to terminate providing non-emergency stretcher trips due to escalating costs; and WHEREAS, an evaluation of industry rates for non-emergency stretcher service revealed that the rates for providing such services in the current contract are more than 60 % less than that being charged in the surrounding service areas; and WHEREAS, the parties wish to modify Attachment 3 of the Agreement to reflect a desired increase to the Boarding Rate for Paratransit stretcher services under the Agreement; and WHEREAS, upon recommendation by the Transportation Administrator and after reasoned consideration by the Board of Commissioners, the Board finds that this Amendment enhances the County's transportation system and is in the public interest. WITNESSETH: NOW, THEREFORE, in consideration of Ten Dollars ($10.00) and other good and valuable consideration exchanged amongst the parties, and in consideration of the covenants contained above and herein, and the fact that all of the above recitals are true and correct and shall be fully incorporated herein and form part of the basis for this Amendment, the parties agree as follows: 1. The Boarding Rate for In County and Out of County Vendor Rates currently set forth in the Agreement as $27.56 is hereby amended and increased to $80.00 per boarding. The rate per mile of $1.59 shall remain the same. 2. There are no other amendments to this Agreement except those set forth herein. This Amendment shall only be amended or cancelled by mutual written consent of the parties hereto or by their successors in interest. Page 1 of3 Agenda Item No. 1681 April 13, 2010 Page 8 of 8 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their appropriate officials, as of the date first above written. Attest: DWIGHT E. BROCK, Clerk BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, By: , Deputy Clerk By: FRED W, COYLE, Chairman Approved as to form and legal sufficie~ ~ Scott R, Teach, Deputy County Attorney WITNESSES: McDONALD TRANSIT ASSOCIATES, INC. By: Name: Title: Print Name: Print Name: Page 2 of2