Agenda 09/26/2023 Item #16F 8 (Resolution: Intergovernment transfers between Collier County EMS and the State of Florida Agency for Health Administration for FY24)09/26/2023
EXECUTIVE SUMMARY
Recommendation to approve a resolution authorizing Intergovernmental Transfers (IGT) between Collier
County EMS and the State of Florida Agency for Health Care Administration (AHCA) for FY24, to
authorize Chairman to sign an Agreement with AHCA to accept direct payments from the program named
Statewide Medicaid Managed Care (SMMC) for FY24 and to approve the necessary Budget Amendments.
OBJECTIVE: To participate in the Statewide Medicaid Managed Care (SMMC) program to receive supplemental
Medicaid reimbursement for services rendered.
CONSIDERATIONS: On September 22, 2020 the Board approved item 16.E.7 to allow Emergency Medical
Services to participate in the Statewide Medicaid Managed Care (SMMC) program and to accept direct payments
from the program in FY21. To participate in the SMMC program and accept direct payments in FY24, The Agency
for Health Care Administration (AHCA) requires an annual letter of agreement in place with Collier County EMS.
AHCA also requires Inter-Governmental Transfers (IGT), which will require EMS to pay AHCA funds up front in
FY24 before receiving those funds and additional funds back, later within FY24.
It is estimated that for FY24 Collier County EMS’s IGT total that will need to be paid upfront, will be $796,457.92.
This amount may increase or decrease depending on the number of providers that participate in the program during
FY24. Collier County’s estimated allocation for FY24 that will be received back is $1,894,524.07, adding an
additional net new federal funding of an estimated $1,098,066.15.
FISCAL IMPACT: Funds are available and were budgeted in FY24, 4050 operating fund for upfront IGT. An
FY24 Budget Amendment is needed to appropriate received funds in the amount of $1,894,524.07 within fund
4050.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this action.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and
legality and requires majority vote for approval. -JAK
RECOMMENDATION: To approve a resolution authorizing Intergovernmental Transfers (IGT) between Collier
County EMS and the State of Florida Agency for Health Care Administration (AHCA) for FY24, to authorize
Chairman to sign an Agreement with AHCA to accept direct payments from the program named Statewide
Medicaid Managed Care (SMMC) for FY24 and to approve the necessary budget amendments.
PREPARED BY: Cherie DuBock, Accounting Supervisor, Emergency Medical Services Admin.
ATTACHMENT(S)
1. Resolution - MCO LOA FY23-24 - JAK signed (PDF)
2. Letter of Agreement - JAK signed (PDF)
3. Year 5 MCO SFY 2023-23 Model-Draft (PDF)
16.F.8
Packet Pg. 2104
09/26/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.8
Doc ID: 26701
Item Summary: Recommendation to approve a resolution authorizing Intergovernmental Transfers (IGT) between
Collier County EMS and the State of Florida Agency for Health Care Administration (AHCA) for FY24, to
authorize Chairman to sign an Agreement with AHCA to accept direct payments from the program named
Statewide Medicaid Managed Care (SMMC) for FY24 and to approve the necessary Budget Amendments.
Meeting Date: 09/26/2023
Prepared by:
Title: – Emergency Medical Services
Name: Cherie DuBock
09/19/2023 10:18 AM
Submitted by:
Title: Division Director - EMS Operations – Emergency Medical Services
Name: Tabatha Butcher
09/19/2023 10:18 AM
Approved By:
Review:
Emergency Medical Services Tabatha Butcher Director Review Completed 09/19/2023 4:17 PM
County Attorney's Office Jeffrey A. Klatzkow Level 2 Attorney Review Completed 09/19/2023 4:50 PM
Grants Maria Kantaras Level 2 Grants Review Completed 09/20/2023 8:15 AM
Emergency Management Michael Choate Executive Director Review Completed 09/20/2023 10:58 AM
Grants Therese Stanley Additional Reviewer Completed 09/20/2023 11:06 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 09/20/2023 11:09 AM
County Attorney's Office Cherie DuBock Level 3 County Attorney's Office Review Skipped 09/20/2023 1:32 PM
Office of Management and Budget Agnieszka Chudy Additional Reviewer Completed 09/20/2023 1:41 PM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 09/20/2023 3:10 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/26/2023 9:00 AM
16.F.8
Packet Pg. 2105
16.F.8.a
Packet Pg. 2106 Attachment: Resolution - MCO LOA FY23-24 - JAK signed (26701 : MCO Supplemental Payment Program EMS 2023-2024)
16.F.8.a
Packet Pg. 2107 Attachment: Resolution - MCO LOA FY23-24 - JAK signed (26701 : MCO Supplemental Payment Program EMS 2023-2024)
16.F.8.b
Packet Pg. 2108 Attachment: Letter of Agreement - JAK signed (26701 : MCO Supplemental Payment Program EMS 2023-2024)
16.F.8.b
Packet Pg. 2109 Attachment: Letter of Agreement - JAK signed (26701 : MCO Supplemental Payment Program EMS 2023-2024)
16.F.8.b
Packet Pg. 2110 Attachment: Letter of Agreement - JAK signed (26701 : MCO Supplemental Payment Program EMS 2023-2024)
Medicaid
Number Provider Region Total Allotment Total IGTs Needed Estimated Net New
Federal Revenue
1 88173200 Alachua County Fire Rescue 3 4,080,607.62$ 1,715,487.44$ 2,365,120.18$
2 88018300 Baker County Fire Rescue 4 281,146.64$ 118,194.05$ 162,952.59$
3 10186800 Bay County EMS 2 1,657,478.87$ 696,804.12$ 960,674.75$
4 400001300 Boynton Beach Fire Rescue 9 852,627.71$ 358,444.69$ 494,183.02$
5 99404900 Bradford County EMS 3 715,423.25$ 300,763.93$ 414,659.32$
6 88137600 Brevard County Fire Rescue 7 4,791,743.23$ 2,014,448.85$ 2,777,294.38$
7 400042100 Broward Sheriffs Fire Rescue 10 2,417,616.07$ 1,016,365.80$ 1,401,250.27$
8 89925900 Charlotte County Fire & EMS 8 2,043,366.41$ 859,031.24$ 1,184,335.17$
9 113842700 Citrus County 3 814,038.96$ 342,221.98$ 471,816.98$
10 112679700 City of Coconut Creek Fire Rescue 10 124,341.54$ 52,273.18$ 72,068.36$
11 1305000 City of Fernandina Beach Fire Department 4 79,627.59$ 33,475.44$ 46,152.15$
12 400009900 City of Greenacres 9 336,885.95$ 141,626.85$ 195,259.10$
13 400007200 City of Hialeah Fire Department 11 1,541,100.09$ 647,878.48$ 893,221.61$
14 88104000 City of Jacksonville - Fire Division Rescue Services 4 11,963,126.30$ 5,029,298.30$ 6,933,828.00$
15 14564900 City of Key West Fire Department 11 289,109.40$ 121,541.59$ 167,567.81$
16 400037400 City of Lauderhill Fire Rescue Department 10 1,010,657.85$ 424,880.56$ 585,777.29$
17 117949700 City of Lighthouse Point 10 22,663.24$ 9,527.62$ 13,135.62$
18 400035800 City of Longwood 7 131,691.78$ 55,363.22$ 76,328.56$
19 89282300 City of Margate 10 438,564.25$ 184,372.41$ 254,191.84$
20 87475200 City of Miami Fire-Rescue Department 11 5,798,113.44$ 2,437,526.89$ 3,360,586.55$
21 88070100 City of Miramar Fire Rescue 10 577,606.27$ 242,825.68$ 334,780.59$
22 8855600 City of Ocoee Fire Department 7 431,826.53$ 181,539.88$ 250,286.65$
23 85063200 City of Pembroke Pines Fire Rescue Department 10 954,306.01$ 401,190.25$ 553,115.76$
24 400040400 City of Plantation 11 648,046.06$ 272,438.56$ 375,607.50$
25 400047100 City of Sanford 7 704,397.89$ 296,128.87$ 408,269.02$
26 88499500 City of St. Cloud Fire Rescue 7 586,794.07$ 246,688.23$ 340,105.84$
27 400057900 City of Stuart Fire Rescue 9 271,346.32$ 114,073.99$ 157,272.33$
28 88094900 City of Sunrise Fire Rescue 10 257,258.36$ 108,151.41$ 149,106.95$
29 400041200 City of Tamarac Fire Department 10 474,090.41$ 199,307.61$ 274,782.80$
30 88103100 Clay County Fire Rescue 4 1,274,653.93$ 535,864.51$ 738,789.42$
32 89707800 Collier County EMS 8 1,894,524.07$ 796,457.92$ 1,098,066.15$
31 400039100 Coral Springs Fire Department 10 749,111.85$ 314,926.62$ 434,185.23$
33 3997800 County of Volusia 4 5,681,122.14$ 2,388,343.75$ 3,292,778.39$
34 20395700 Delray Beach Fire Rescue 9 588,019.11$ 247,203.23$ 340,815.88$
35 88100700 Desoto County Fire Rescue 8 474,090.41$ 199,307.61$ 274,782.80$
36 88175900 Dixie County Emergency Services 3 111,478.62$ 46,865.61$ 64,613.01$
37 88087600 Flagler County Fire Rescue Department 4 603,944.63$ 253,898.32$ 350,046.31$
38 400063300 Fort Lauderdale Fire Rescue 11 2,753,276.98$ 1,157,477.64$ 1,595,799.34$
39 400045500 Fort Myers Beach Fire Department 8 53,901.75$ 22,660.30$ 31,241.45$
40 89871600 Gilchrist County 3 292,784.52$ 123,086.61$ 169,697.91$
41 88053100 Hamilton County EMS 3 286,046.80$ 120,254.07$ 165,792.73$
42 400115000 Hardee County 6 250,520.64$ 105,318.88$ 145,201.76$
43 163910300 Hendry County 8 212,544.41$ 89,353.67$ 123,190.74$
44 400076500 Hernando County Fire Rescue 3 1,161,337.74$ 488,226.39$ 673,111.35$
45 111363700 Highlands County EMS 6 833,027.07$ 350,204.58$ 482,822.49$
46 88084100 Hillsborough County Fire Rescue 6 9,499,571.24$ 3,993,619.75$ 5,505,951.49$
47 88031100 Hollywood Fire Rescue & Beach Safety Department 10 1,354,281.51$ 569,339.95$ 784,941.56$
48 88224100 Indian River County ALS 9 864,265.59$ 363,337.25$ 500,928.34$
49 88061200 Jefferson County Ambulance Service - Jefferson County Fire Rescue 2 324,635.55$ 136,476.79$ 188,158.76$
50 84438100 Kissimmee Fire Department 7 1,631,140.51$ 685,731.47$ 945,409.04$
51 103181100 Lake Emergency Medical Services 3 4,032,831.07$ 1,695,402.18$ 2,337,428.89$
52 400105200 Lake Mary Fire Department 7 180,080.85$ 75,705.99$ 104,374.86$
53 88022100 Lee County EMS 8 5,088,202.87$ 2,139,080.49$ 2,949,122.38$
55 400024200 Lehigh Acres Fire Control and Rescue District 8 927,967.66$ 390,117.60$ 537,850.06$
56 400101000 Leon County EMS 2 4,367,266.94$ 1,835,999.02$ 2,531,267.92$
57 88051500 Levy County Department of Public Safety 3 826,901.87$ 347,629.55$ 479,272.32$
58 88042600 Madison County Fire Rescue 2 453,877.25$ 190,810.00$ 263,067.25$
59 400064100 Maitland Fire Rescue Department 7 118,216.34$ 49,698.15$ 68,518.19$
60 88030200 Manatee County EMS 6 3,214,504.47$ 1,351,377.68$ 1,863,126.79$
61 683100 Marion County Fire Rescue 3 5,673,159.38$ 2,384,996.20$ 3,288,163.18$
62 83903500 Martin County Fire Rescue 9 1,140,512.07$ 479,471.27$ 661,040.80$
63 87883900 Miami Beach Fire Department 11 316,672.79$ 133,129.24$ 183,543.55$
64 83899301 Miami -Dade Fire Rescue 11 9,860,957.98$ 4,145,546.74$ 5,715,411.24$
65 87736100 Monroe County 11 162,317.78$ 68,238.39$ 94,079.39$
Year 5 SFY 2023-24 PEMT MCO Allotments
Agency for Health Care Administration
Bureau of Medicaid Program Finance
9/6/2023
16.F.8.c
Packet Pg. 2111 Attachment: Year 5 MCO SFY 2023-23 Model-Draft (26701 : MCO Supplemental Payment Program EMS 2023-2024)
66 88086800 Nassau County 4 409,163.30$ 172,012.25$ 237,151.05$
67 400050100 North Lauderdale Fire Rescue 10 384,049.98$ 161,454.61$ 222,595.37$
68 88048500 North Port Fire Rescue 8 494,916.08$ 208,062.72$ 286,853.36$
69 400006400 Oakland Park Fire Rescue 10 441,626.85$ 185,659.93$ 255,966.92$
70 17422000 Okaloosa County EMS 1 2,498,468.70$ 1,050,356.24$ 1,448,112.46$
71 88046900 Okeechobee County Fire Rescue 9 533,504.84$ 224,285.43$ 309,219.41$
72 400038200 Orange County Fire Rescue 7 10,199,681.49$ 4,287,946.10$ 5,911,735.39$
73 3655700 Orlando Fire Department 7 3,595,491.85$ 1,511,544.78$ 2,083,947.07$
74 89085500 Osceola County Fire Department 7 1,975,376.70$ 830,448.36$ 1,144,928.34$
75 400028500 Palm Beach County Fire Rescue 9 6,300,379.76$ 2,648,679.65$ 3,651,700.11$
76 18248400 Palm Beach Gardens Fire Rescue 9 408,550.78$ 171,754.75$ 236,796.03$
77 88120100 Pasco County Board of County Commissioners - Fire Rescue 5 6,205,439.18$ 2,608,766.63$ 3,596,672.55$
78 87678000 Pinellas County EMS Authority DBA Sunstar 5 24,027,318.39$ 10,101,084.65$ 13,926,233.74$
79 400087100 Plant City Fire Rescue 6 276,859.00$ 116,391.52$ 160,467.48$
80 88015900 Polk County Fire Rescue 6 9,463,432.56$ 3,978,427.05$ 5,485,005.51$
81 400002100 Pompano Beach Fire Rescue 10 1,849,810.12$ 777,660.17$ 1,072,149.95$
82 400021800 Riviera Beach Fire Department 9 745,436.73$ 313,381.60$ 432,055.13$
83 84662700 Sarasota County Fire Department 8 2,960,308.71$ 1,244,513.78$ 1,715,794.93$
84 400046300 Seminole County Fire Department 7 2,449,467.11$ 1,029,755.97$ 1,419,711.14$
85 400090100 South Walton Fire District 1 88,815.39$ 37,337.99$ 51,477.40$
86 88085000 Suwannee County 3 467,965.21$ 196,732.57$ 271,232.64$
87 88065500 St. Lucie County Fire District 9 4,209,236.80$ 1,769,563.15$ 2,439,673.65$
88 22548000 Tampa Fire Department 6 4,988,974.64$ 2,097,364.94$ 2,891,609.70$
89 89269600 Temple Terrace Fire Department 6 264,608.60$ 111,241.46$ 153,367.14$
90 400051000 Town of Davie Fire Rescue 10 656,621.34$ 276,043.61$ 380,577.73$
91 88105800 Wakulla County Fire Rescue 2 250,520.64$ 105,318.88$ 145,201.76$
92 23813300 Walton County Fire Rescue 1 705,010.41$ 296,386.38$ 408,624.03$
93 87867700 West Palm Beach Fire Department 9 1,214,014.46$ 510,371.68$ 703,642.78$
94 3458200 Winter Park Fire-Rescue 7 381,599.90$ 160,424.61$ 221,175.29$
200,000,000.00$ 84,080,000.00$ 115,920,000.00$ Totals
Agency for Health Care Administration
Bureau of Medicaid Program Finance
9/6/2023
16.F.8.c
Packet Pg. 2112 Attachment: Year 5 MCO SFY 2023-23 Model-Draft (26701 : MCO Supplemental Payment Program EMS 2023-2024)