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C. 70
To: Contra Costa County Fire Protection District Board of Directors
From: Lewis T. Broschard III, Chief, Contra Costa Fire Protection District
Date: March  30, 2021
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: GEMT Overpayment for FY 2016-17

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   03/30/2021
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Jackie Lorrekovich, Chief Admin Svcs (925) 941-3300
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:     March  30, 2021
,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in an amount not to exceed $151,731 for a Ground Emergency Medical Transportation Program overpayment for FY 2016-17.

FISCAL IMPACT:

100% CCCFPD EMS Transport Fund (204000)

BACKGROUND:

The California Department of Health Care Services (DHCS), Safety Net Financing Division, Ground Emergency Medical Transportation (GEMT) Program provides funding to eligible governmental entities that provide emergency ambulance services to Medi-Cal beneficiaries. DCHS conducted an audit of the Contra Costa County Fire Protection District GEMT cost reports for the fiscal year ending (FYE) June 30, 2017. As a result of the audit, an overpayment was identified in the amount of $151,730.36.  

BACKGROUND: (CONT'D)
  
At the time the GEMT cost reports were prepared, providers were advised not to include dry runs. A dry run is an ambulance response that does not result in a patient transport. The State's position on the inclusion of dry runs has since changed and providers are now required to report dry runs in GEMT cost reports. Reporting of dry runs increases the overall number of qualifying "transports," thus lowering the provider's average cost per transport. A lower cost per transport results in a lower supplemental payment to the provider.

CONSEQUENCE OF NEGATIVE ACTION:

If the payment is not made, the District will not be eligible to participate in Medi-Cal supplement payment programs in the future.

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