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PR.1

To:	Contra Costa County Fire Protection District Board of Directors
From:	Jeff Carman, Chief, Contra Costa County Fire Protection District
Date:	December 8, 2015

Contra

Costa

County

Subject:

Presentation on Federal Funding Programs Available to Fire-Based Ambulance Service Providers

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/08/2015

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

Contact:

Jeff Carman, Fire Chief (925) 941-3500

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: December 8, 2015
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

PRESENTATION on federal funding programs available to the Contra Costa County Fire Protection District for its ambulance transport program.

FISCAL IMPACT:

Presentation only. No fiscal impact.

BACKGROUND:

The Contra Costa County Fire Protection District, as a public 911 ambulance service provider, may be eligible for supplemental federal reimbursement for the cost of services provided to certain patients with government insurance. The federal funding programs are called Ground Emergency Medical Transport (GEMT) and Inter-Governmental Transfer (IGT). Funding from these programs is available to fire protection district's that provide ambulance services to assist in the recovery of costs associated with providing ambulance services to patients with government insurance (e.g., Medicaid).

BACKGROUND: (CONT'D)

Medi-Cal (California's version of Medicaid) reimburses ambulance providers at rates significantly less that the cost of providing ambulance services. California law prohibits ambulance providers from billing the patient for the difference between the ambulance cost and Medi-Cal reimbursement. Therefore, ambulance services operated by public agencies that meet program requirements can seek cost-based reimbursement for certain patients who are covered by Medi-Cal.

This presentation will provide an overview of the programs, describe the eligibility requirements, and provide an estimation of potential supplemental reimbursement funding available to the District.

CONSEQUENCE OF NEGATIVE ACTION:

This item is an informational presentation item only.

CHILDREN'S IMPACT STATEMENT:

No impact.