Agenda 09/24/2024 Item #16F 7 (Resolution to participate in the Statewide Medicaid Managed Care (SMMC) Program)9/24/2024
Item # 16.F.7.
ID#: 2024-939
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 FY25, to authorize Chairman to sign an
Agreement with AHCA to accept direct payments from the program named Statewide Medicaid Managed Care (SMMC)
for FY25, 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 FY25, 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 FY25 before
receiving those funds and additional funds back, later within FY25.
It is estimated that for FY25 Collier County EMS’s IGT total that will need to be paid upfront will be $800,219.65. This
amount may increase or decrease depending on the number of providers that participate in the program during FY25.
Collier County’s estimated allocation for FY25 that will be received back is $1,868,362.48, adding an additional net
new federal funding of an estimated $1,068,142.83.
FISCAL IMPACT: Funds are available and were budgeted in FY25, EMS Operating Fund (4050) for the upfront IGT.
A Budget Amendment is needed to appropriate expected revenues in the amount of $1,868,362.48 within EMS
Operating Fund (4050).
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this action.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for approval. -
SAA
RECOMMENDATIONS: 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 FY25, to
authorize Chairman to sign an Agreement with AHCA to accept direct payments from the program named Statewide
Medicaid Managed Care (SMMC) for FY25, and to approve the necessary Budget Amendments.
PREPARED BY: Cherie DuBock, Accounting Supervisor, Emergency Medical Services Admin.
ATTACHMENTS:
1. Year 6 MCO SFY 2024-25
2. Letter of Agreement - CAO
3. Resolution MCO FY24-25
Page 3677 of 4908
Page 3678 of 4908
Page 3679 of 4908
Page 3680 of 4908
Page 3681 of 4908
Page 3682 of 4908
Page 3683 of 4908
Page 3684 of 4908