TO: Honorable Mayor and Members of the City Council
THRU: Jarad Hildenbrand, City Manager
FROM: Sean deMetropolis, Fire Chief
1. SUBJECT
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Appropriation of an amount not to exceed $1,500,000 from the Emergency Transport fund to the California Department of Health Care Services for participation in a one-time Public Provider Ground Emergency Medical Transportation Intergovernmental Transfer Program.
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2. SUMMARY
The City of Orange is a participating funding entity in the Public Provider Ground Emergency Medical Transportation program and is contributing to the Intergovernmental Transfer Program for the twelve-month period ending December 31, 2026. This participation enables the city to access additional Federal Medicaid funds to support unreimbursed medical care.
3. RECOMMENDED ACTION
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Authorize the appropriation from the Emergency Transport Fund (225) for an amount not to exceed $1,500,000 to the California Department of Health Care Services, along with a $150,000 assessment fee to the California Department of Health Care Services for managing the Public Provider Ground Emergency Medical Transportation program, payable in quarterly Intergovernmental Transfers.
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4. FISCAL IMPACT
Reimbursable funds of $1,650,000 will be used to obtain approximately $2,500,000 in previously unreimbursed Medicaid revenue add-ons, resulting in a net benefit of $850,000, and will be advanced through the Emergency Transport Fund (225) respectively: 225-0000-12101.
5. STRATEGIC PLAN GOALS
Goal 1: Maintain Strong Emergency and Safety Services
Goal 2: Enhance Economic Development and Achieve Fiscal Sustainability
6. DISCUSSION AND BACKGROUND
An Intergovernmental Transfer (IGT) allows California's Medi-Cal Managed Care and Fee For Service plans to partner with local units of government to access additional Federal Medicaid dollars and use them to support unreimbursed care and provide health care services. The City has participated in IGT programs ...
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