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C.3

To:	Contra Costa County Fire Protection District Board of Directors
From:	Jeff Carman, Chief, Contra Costa County Fire Protection District
Date:	June 13, 2017

Contra

Costa

County

Subject:

Agreement for Recovery of Admistrative Costs for GEMT Supplemental Reimbursement Payments

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 06/13/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, Director
Candace Andersen, Director
Diane Burgis, Director
Karen Mitchoff, Director
Federal D. Glover, Director

Contact:

Jackie Lorrekovich, Chief, Admin Services (925) 941-3312

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: June 13, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Fire Chief, or designee, to execute an Agreement for Recovery of Administrative Costs for Implementation and Recovery of Ground Emergency Medical Transportation (GEMT) Payments with the Sacramento Metropolitan Fire District for the term July 1, 2016, through June 30, 2017.

FISCAL IMPACT:

The Contra Costa County Fire Protection District (District) will pay the Sacramento Metropolitan Fire District (Metro Fire) the District's share of the State administrative costs. The District's share will be based on the administrative costs per fee-for-service Medi-Cal transport, multiplied by the District's number of fee-for-service Medi-Cal transports for the reporting period. Administrative costs are based on the total administrative costs of the State in administering the GEMT Services Supplemental Reimbursement Program divided by the total number of fee-for-service Medi-Cal transports Statewide by all participating transporting agencies in the reporting period. In addition, the District will compensate Metro Fire one percent (1%) of the District's gross State Supplemental Reimbursement of GEMT services for the reporting period.

FISCAL IMPACT: (CONT'D)

The specific amount of GEMT supplemental reimbursement the District is eligible to receive for fiscal year 2016-17 will be determined at the conclusion of the fiscal year, when a full year of data is available and cost reports are prepared.

BACKGROUND:

The State Department of Health Care Services (State) administers the Medi-Cal GEMT Supplemental Reimbursement Program. The State has entered into an agreement with Metro Fire for administrative services related to the Medi-Cal GEMT Supplemental Reimbursement Program. The latter agreement is attached to the Agreement for Recovery of Administrative Costs for Implementation and Recovery of GEMT Payments as Exhibit A. The District is required to enter into an agreement to reimburse the State for implementing and administering the Supplemental Reimbursement Program as a condition of receiving supplemental reimbursement pursuant to California Welfare and Institutions Code Section 14105.94 (State Code). Metro Fire has been designated by the State to recover those administrative and implementation costs.

Metro Fire has a standard form for their Agreement for Recovery of Administrative Costs for Implementation and Recovery of GEMT Payments (Agreement). The Agreements have a three-year term. The current Agreement has a term of July 1, 2014, through June 30, 2017. The District is only eligible for GEMT Supplemental Reimbursement payments for the last year of this term (i.e., fiscal year 2016-17). The District will request authorization to execute another Agreement for the term July 1, 2017, through June 30, 2020.

CONSEQUENCE OF NEGATIVE ACTION:

If the District does not enter into this Agreement with Metro Fire, the District will be ineligible to apply for Medi-Cal GEMT Supplemental Reimbursement for fiscal year 2016-17.