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File #: 25-1837   
Type: County Manager Status: Agenda Ready
File created: 10/2/2025 In control: Board of County Commissioners
On agenda: 10/21/2025 Final action:
Title: Approve and ratify the Letter of Agreement and IGT Provider Questionnaire from the State of Florida, Agency for Health Care Administration (AHCA) for the Public Emergency Medical Transportation Medicaid Managed Care Supplement Payment Program ($4,989,893.04 not-to-exceed, one-time expense)
Attachments: 1. Year 7 SFY 2025-26 PEMT MCO Projections, 2. IGT Questionnaire FY25-26, 3. PEMT SFY 2025-26 LOA_Polk County Fire Rescue-Board
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SUBJECT

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Approve and ratify the Letter of Agreement and IGT Provider Questionnaire from the State of Florida, Agency for Health Care Administration (AHCA) for the Public Emergency Medical Transportation Medicaid Managed Care Supplement Payment Program ($4,989,893.04 not-to-exceed, one-time expense)

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DESCRIPTION

Polk County Fire Rescue continues to participate in the PEMT Medicaid Fee for Service Program and the Managed Care Supplement Payment program.  The Managed Care Program works through the existing Managed Care Organizations.  Polk County Fire Rescue already has current contracts with Managed Care Organizations in our region.  These State contracted insurance companies will report the total number of qualified participants transports performed by Polk County Fire Rescue quarterly to the Agency for Health Care Administration (AHCA).  AHCA will then determine the state funding amount that will be distributed to each of the Managed Care Organizations and ultimately paid to Polk County Fire Rescue.  The Intergovernmental Transfers (IGT) funds from Polk County Fire Rescue will only be used for this PEMT program.

ACHA will bill Polk County Fire Rescue an amount of $4,989,893.04 that will generate a total return of $11,664,079.10.  This includes the Polk County Fire Rescue IGT of $4,989,893.04 and the additional Federal Funding of $6,674,186.06.

 

RECOMMENDATION

Request Board approve and ratify the Letter of Agreement and IGT Provider Questionnaire.

 

FISCAL IMPACT

Funds are budgeted in the General Fund Emergency Medical Services budget.

 

CONTACT INFORMATION

Shawn Smith, Fire Chief

shawnsmith@polk-county.net