To: Board of Directors
From: Lewis Broschard, Chief, Contra Costa County Fire Protection District
Report Title: PP-GEMT IGT Payment to California Department of Health Care Services for CY 2025
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Auditor-Controller to issue a payment, on behalf of the Fire Chief, to the State of California Department of Health Care Services (DHCS), in an amount not to exceed $9,000,000, for the Public Provider Ground Emergency Medical Transport Intergovernmental Transfer (PP-GEMT IGT) for ambulance transports provided by the District as estimated during January 2025 through December of 2025; and AUTHORIZE the Fire Chief, or designee, to execute and submit the required IGT Certification Form's each payment period for calendar year 2025.
FISCAL IMPACT:
The payment to the State of California Department of Health Care Services (DHCS) will be offset by the reimbursements from the new supplemental Medi-Cal program for public providers. The District anticipates that for all payments and fees paid to the DHCS, the District's CCCFPD EMS Transport Fund will receive a net annual increase of $5 million to $7 million in additional supplemental reimbursements from this program. The fiscal impact is projected to be positive for the District's EMS Transport Fund due to the significant number of Medi-Cal transports within the District's ambulance operating area.
BACKGROUND:
In 2019, Assembly Bill 1705 (AB1705) was passed, and certain sections of the California Welfare and Institutions Code relating to Medi-Cal were amended and added. In accordance with the passage of the bill, the Department of Health Care Services (DHCS) developed the Public Provider Ground Emergency Medical Transport (PP-GEMT) Intergovernmental Transfer Program (IGT) to provide increased reimbursements by application of an add-on increase to emergency medical transports provided by eligible public GEM...
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