To: Board of Supervisors
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 2026
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
Acting as the governing board of the Contra Costa County Fire Protection District, APPROVE and AUTHORIZE the Auditor-Controller to issue payment installments to the State of California Department of Health Care Services, totaling an amount not to exceed $13,000,000 for the Public Provider Ground Emergency Medical Transport Intergovernmental Transfer (PP-GEMT IGT) for ambulance transports anticipated to be provided by the District during January 2026 through December 2026; and AUTHORIZE the Fire Chief, or designee, to execute and submit the required IGT Certification forms.
FISCAL IMPACT:
The payments to the State of California Department of Health Care Services (DHCS) are estimated to be $13,000,000 for the calendar year and represent an increase over prior years due to an anticipated increase in supplemental program funding. The cost of the payments will be offset by the reimbursements from the supplemental Medi-Cal program for public providers. The District anticipates that for all payments and fees paid to the DHCS, the District's EMS Transport Fund will receive a net annual increase of $15 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 ...
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