Title:
Title
Agreement for Recovery of Administration Costs for Implementation and Recovery of Ground Emergency Medical Transportation (GEMT) Payments to the Sacramento Metropolitan Fire District (Two-Thirds Vote Required)
End
FileID
File ID: 2019-00209
Location
Location: Citywide
Recommendation:
Recommendation
Pass a Motion: 1) authorizing the City Manager, or his designee, to approve payments exceeding the $100,000 threshold on contract 2016-0204 with Sacramento Metropolitan Fire District (SMFD) for costs associated with Medi-Cal fee-for-service transports that occurred during the period July 1, 2014 through June 30, 2017; and 2) suspending the competitive bidding by two-thirds vote.
Contact: Iysha Jenkins, Senior Accountant Auditor, (916) 808-8569, Fire Department
Body
Presenter: None.
Attachments:
1-Description/Analysis
2-Contract 2016-0204 with Sacramento Metropolitan Fire District (SMFD)
Description/Analysis
Issue Detail: The Fire Department is a provider of ground emergency medical transportation (GEMT) and is eligible to participate in the Medi-Cal GEMT Supplemental Reimbursement Program. The State of California Department of Health Care Services (DHCS) is responsible for oversight of the program and has designated Sacramento Metropolitan Fire District (SMFD) as the “host” entity. As such, SMFD is responsible for the collecting associated fees assessed from the participating agencies to reimburse DHCS for costs to administer the GEMT program.
Participating agencies pay SMFD a 1% administrative fee based on reimbursements received from the State. The reimbursements received by participating agencies are determined by the number of allowable transports. Additionally, participating agencies pay SMFD the transporter’s share of administrative costs, which are based upon the administrative costs per fee for service (FFS) Medi-Cal transport, multiplied by the GEMT transporter’s number of FFS Medi-Cal transports for each reporting period. The administrative costs per FFS is determined by the State based on the total administrative costs of the State administering the GEMT program divided by the total number of FFS Medi-Cal transports statewide by all participating agencies for each reporting period.
As a condition of participating in the State’s GEMT program for receiving supplemental reimbursements, each eligible provider is required to pay these administrative fees to SMFD, pursuant to State Code.
In February 2016, the Fire Department entered into an agreement with SMFD (2016-0204) for payment of administrative fees. Payments made to date have exceeded the contract amount of $100,000.
Staff is requesting approval to cover past, present, and future fees associated with the Medi-Cal FFS transports that occurred from July 1, 2014 through June 30, 2017 and approval to suspend competitive bidding by two-thirds vote since SMFD has been designated by the State as the “host” entity-the sole entity with whom the City can contract for payment of GEMT administrative fees.
Policy Considerations: The Fire Department’s participation in this program has exceeded $100,000. Pursuant to City Code Section 3.56.090, contracts of $100,000 or more are to be approved by the City Council.
Economic Impacts: None.
Environmental Considerations: This report concerns administrative activities that do not constitute a “project” as defined by Section 15378 of the California Environmental Quality Act (CEQA) Guidelines and is otherwise exempt pursuant to Section 15061(b) (3).
Sustainability: None.
Commission/Committee Action: None.
Rationale for Recommendation: The requested approval needs to be executed to ensure compliance with City Code 3.56.290 for the payments made to SMFD.
Financial Considerations: Fees associated with this program have been paid from reimbursements received through the GEMT program. Payments made to SMFD have exceeded the $100,000 threshold established by City Code. Council authority is required to bring the relationship between the City, SMFD, and the associated expenditures of city funds in compliance with the requirements of City Code so that the City can continue to participate in the GEMT program.
Local Business Enterprise (LBE): Not applicable.