Agenda 05/28/2024 Item #16F10 (First Amendment to Agreement "Medicaid Reimbursment Program to Public Consulting Group, Inc.)05/28/2024
EXECUTIVE SUMMARY
Recommendation to approve the First Amendment to Agreement No. 21-021-NS, “Medicaid Reimbursement
Program (PEMT),” to Public Consulting Group, Inc., and continues Waiver expenditures made through the
First Amendment of the Agreement.
OBJECTIVE: To continue Collier County EMS’s participation in the PEMT Medicaid reimbursement program by
extending the current agreement with Public Consulting Group LLC (PCG).
CONSIDERATIONS: Medicaid reimbursement rates for ambulance services do not recognize the actual cost for
providing Advance Life Support (ALS) services. To offset that revenue deficit, the Florida Agency for Health Care
Administration (AHCA) has a Certified Public Expenditure (CPE) Program for Medicaid Fees for Service Claims
that provides additional federal funding for Medicaid eligible recipients such as Collier County EMS. Participation
in the PEMT CPE program requires submission of an annual cost report to AHCA.
On June 22, 2021 (Agenda Item 16.E.1) the County entered into Agreement #21-021-NS with PCG for PEMT
Medicaid reimbursement program consulting services. PCG has knowledge of the rules, regulations and
requirements associated with the PEMT Program for the State of Florida. They review data provided by EMS,
complete cost reports, and submit the reports to AHCA. PCG also audit and contract support in relation to Managed
Care Organizations by monitoring claims and cash flows to ensure EMS receives the appropriate benefit from the
program.
The initial term of the agreement is set to end on June 21, 2024. Staff is requesting a contract amendment to extend
the term by three years to June 21, 2027. The contractor has also proposed a reduction in their fee from 15% of
collected Medicaid reimbursements to 12%. PCG qualifies for a Waiver as a Single Source vendor, this combined
with the high quality of their work and the 3% reduction in their fees led staff to seek an extension to the current
contract rather than seek a new one.
FISCAL IMPACT: Funding for this agreement is available in the Emergency Medical Services Fund (4050). Total
expenditures under this single source agreement are not to exceed $200,000 annually per the Board approved
Waiver. The current Waiver is approved through the end of agreement 21-021-NS and would survive with the
amended agreement.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board
action. - CJS
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this Executive
Summary.
RECOMMENDATION: To approve the First Amendment to Agreement No. 21-021-NS, “Medicaid
Reimbursement Program (PEMT),” to Public Consulting Group, Inc., and continued Waiver expenditures made
through the First Amendment of the Agreement.
Prepared by: Charles Kammerer, Budget Analyst II, Corporate Financial & Management Operations
ATTACHMENT(S)
1. 21-021-NS 1stAmendVS_PublicConsulting (PDF)
2. 21-021-NS_Public_Consulting_Group_LLC_Contract (PDF)
16.F.10
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05/28/2024
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.10
Doc ID: 28898
Item Summary: Recommendation to approve the First Amendment to Agreement No. 21-021-NS, “Medicaid
Reimbursement Program (PEMT),” to Public Consulting Group, Inc., and continues Waiver expenditures made
through the First Amendment of the Agreement.
Meeting Date: 05/28/2024
Prepared by:
Title: – Emergency Medical Services
Name: Cherie DuBock
05/14/2024 10:35 AM
Submitted by:
Title: – Emergency Medical Services
Name: Bruce Gastineau
05/14/2024 10:35 AM
Approved By:
Review:
Emergency Medical Services Bruce Gastineau EMS Chief Review Completed 05/14/2024 10:48 AM
Emergency Management Michael Choate Executive Director Review Completed 05/14/2024 1:36 PM
County Attorney's Office Carly Sanseverino CAO Reviewer Completed 05/20/2024 1:30 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 05/14/2024 2:18 PM
Office of Management and Budget Agnieszka Chudy OMB Reviewer Completed 05/15/2024 8:08 AM
Corporate Business Operations Jennifer Reynolds OMB Reviewer Completed 05/15/2024 10:42 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 05/20/2024 2:26 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 05/22/2024 4:13 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 05/28/2024 9:00 AM
16.F.10
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16.F.10.aPacket Pg. 2281Attachment: 21-021-NS 1stAmendVS_PublicConsulting (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2282 Attachment: 21-021-NS 1stAmendVS_PublicConsulting (28898 : Agreement Amendment #1 Public Consulting Group)
16.F.10.aPacket Pg. 2283Attachment: 21-021-NS 1stAmendVS_PublicConsulting (28898 : Agreement Amendment #1 Public Consulting Group)
16.F.10.aPacket Pg. 2284Attachment: 21-021-NS 1stAmendVS_PublicConsulting (28898 : Agreement Amendment #1 Public Consulting Group)
16.F.10.aPacket Pg. 2285Attachment: 21-021-NS 1stAmendVS_PublicConsulting (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2286 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2287 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2288 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2289 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2290 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2291 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2292 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2293 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2294 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2295 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2296 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2297 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)
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Packet Pg. 2298 Attachment: 21-021-NS_Public_Consulting_Group_LLC_Contract (28898 : Agreement Amendment #1 Public Consulting Group)