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Ratification of Letter of Agreement and Intergovernmental Transfers Questionnaire for FY 2025-26 for Hernando County Fire Rescue for Health Care Administration for Public Emergency Medical Transportation Services
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BRIEF OVERVIEW
The State of Florida Agency for Health Care Administration (AHCA) created a supplemental program for Medicaid managed care patients who are transported to the hospital by public emergency medical transportation (PEMT) providers and has appropriated funds for this program.
Medicaid pays a minimal amount for transport service, and the County has participated in this service for 4 years. By participating in this program, Hernando County Fire and Emergency Services has received additional revenue which has helped offset the rising cost of medical care.
This plan requires a letter of agreement not only with AHCA but also with each of the Managed Care Organizations (MCO). The Board of County Commissioners had previously granted the County Administrator the authorization to sign the letters of agreements for each of the five (5) MCOs. The agreements from the MCOs typically come in at different times throughout October and November for signature.
Due to time restraints on the lateness of receiving the Letter of Agreement (LOA) on September 5th and the need to submit to AHCA by October 1, 2025, attached for ratification is the LOA that was executed by the County Administrator on September 15, 2025.
FINANCIAL IMPACT
Hernando County Fire and Emergency Services (HCFR) will send an Intergovernmental Transfer (IGT) utilizing a receivable account to make the IGT (estimated at $2,302,884) and will receive net revenues $3,080,201 in account number:
Revenue:
Fund: 1691 - HC Fire Rescue - Rescue, Account: 3426006 - Ambulance-Medicaid.
LEGAL NOTE
The Board is authorized to act on this matter pursuant to Chapter 125, Florida Statutes.
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RECOMMENDATION
It is recommended that the Board ratify both the attached Public Emergency Medical Transportation Letter of Agreement that was signed by the County Administrator on September 15, 2025, and the Intergovernmental Questionnaire signed by HCFR Finance Manager on September 10, 2025.