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File #: 2025-20576   
Type: Consent Status: Agenda Ready
File created: 9/8/2025 Meeting Body Board of County Commissioners
On agenda: 9/16/2025 Final action:
Title: Request Approval of the Public Emergency Medical Transportation Letter of Agreement with the Agency for Health Care Administration (Budget Impact - Neutral; estimated revenue of $8,755,918)
Attachments: 1. LRM 2025-911, 2. PEMT Agreement, 3. Year 7 SFY 2025-26 PEMT MCO Projections

 

SUBJECT:

Title

Request Approval of the Public Emergency Medical Transportation Letter of Agreement with the Agency for Health Care Administration (Budget Impact – Neutral; estimated revenue of $8,755,918)

Body

 

INITIATOR:

DEPARTMENT:

James Banta, Fire Chief

Fire Rescue

 

DESCRIPTION/BACKGROUND:

As part of the Public Emergency Medical Transport (PEMT) program, Marion County Fire Rescue is participating in the managed Medicaid portion that will require an Intergovernmental Transfer (IGT) to be made in order to draw down funds from the Agency for Health Care Administration (AHCA). The agreement that is provided by AHCA will allow for Marion County to recognize the realized revenues as a result of the IGT. The deadline for the agreement to be executed is October 1, 2025.

 

The letter of agreement with AHCA will require Marion County to pay $3,745,781.81, which will result in revenues of $8,755,918.21.

 

BUDGET/IMPACT:

Estimated revenue of $8,755,918.21 for the Emergency Medical Services fund.

 

RECOMMENDED ACTION:

Recommended action

Motion to approve the Public Emergency Medical Transportation Letter of Agreement with the Agency for Health Care Administration.

end