HomeMy WebLinkAboutR-19-0512City of Miami
Resolution R-19-0512
Legislation
City Hall
3500 Pan American Drive
Miami, FL 33133
www.miamigov.com
File Number: 6444 Final Action Date: 12/12/2019
A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S),
AUTHORIZING THE CITY OF MIAMI ("CITY") TO PARTICIPATE IN AND
RECEIVE REIMBURSEMENTS UNDER THE NEW MEDICAID PUBLIC
EMERGENCY MEDICAL TRANSPORTATION AND MANAGED CARE
EMERGENCY MEDICAL SYSTEM SUPPLEMENT PAYMENT PROGRAM
("PARTIAL REIMBURSEMENT PROGRAM") FOR MEDICAID MANAGED CARE
PATIENTS TRANSPORTED BY THE CITY'S DEPARTMENT OF FIRE -RESCUE
("DEPARTMENT") WITH ADMINISTRATION OF FEDERAL FUNDS BY THE
STATE OF FLORIDA ("STATE") THROUGH ITS AGENCY FOR HEALTH CARE
ADMINISTRATION ("AHCA") FOR THE FIRST PROGRAM YEAR ENDING
JUNE 30, 2020 ("FIRST PROGRAM YEAR"); AUTHORIZING THE CITY
MANAGER TO NEGOTIATE AND EXECUTE ANY AND ALL NECESSARY
AGREEMENTS, ALL IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, IN
ORDER TO PARTICIPATE IN THE PARTIAL REIMBURSEMENT PROGRAM
FOR THE FIRST PROGRAM YEAR, TO PROVIDE THE REQUIRED FIRST
PROGRAM YEAR CITY MATCH BY INTERGOVERNMENTAL TRANSFER(S)
OF FUNDS TO ACHA, AND TO RECEIVE APPROXIMATELY 61.47 PERCENT
BACK FROM THE FEDERAL SHARE OF THE PARTIAL REIMBURSEMENT
PROGRAM AND 38.53 PERCENT BACK FROM ACHA UNDER THE STATE
SHARE OF THE PARTIAL REIMBURSEMENT PROGRAM; AUTHORIZING
AND APPROPRIATING FROM ACCOUNT NO. 00001.181000.881000 TO BE
TRANSFERRED TO ACHA IN AN AMOUNT NOT TO EXCEED EIGHT
HUNDRED NINETY-NINE THOUSAND FOUR HUNDRED SEVEN DOLLARS
AND FORTY EIGHT CENTS ($899,407.48) WHICH IS APPROXIMATELY 38.53
PERCENT OF THE FUNDING REQUIRED TO BE PAID AS THE CITY MATCH
BY JANUARY 2020, OR SUCH OTHER TIME AS DESIGNATED IN WRITING
BY AHCA, IN ORDER FOR THE CITY TO PARTICIPATE IN THE PARTIAL
REIMBURSEMENT PROGRAM FOR THE FIRST PROGRAM YEAR AND WILL
REQUIRE THAT THE DEPARTMENT'S OPERATING BUDGET BE
INCREASED IN THE FISCAL YEAR 2019-20 MID -YEAR BUDGET
AMENDMENT; REQUIRING THE CITY MANAGER AND THE DEPARTMENT,
BEGINNING OCTOBER 1, 2020, TO PROVIDE TO THE CITY COMMISSION
AN ANNUAL REPORT ON THE FIRST PROGRAM YEAR'S PARTICIPATION
AND PARTIAL REIMBURSEMENTS TO THE CITY; FURTHER AUTHORIZING
THE CITY MANAGER TO NEGOTIATE AND EXECUTE, IN A FORM
ACCEPTABLE TO THE CITY ATTORNEY, ALL AMENDMENTS, EXTENSIONS,
RENEWALS, AND MODIFICATIONS TO ANY AND ALL FIRST PROGRAM
YEAR AGREEMENTS FOR THE PARTIAL REIMBURSEMENT PROGRAM;
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, pursuant to the General Appropriation Act — Laws of the State of Florida
2019-15 and Section 409.908, Florida Statutes, the State of Florida ("State"), through its Agency
for Health Care Administration ("ACHA"), has created a new Medicaid Public Emergency
Medical Transportation ("PEMT") and Managed Care Emergency Medical System ("EMS")
City of Miami Page 1 of 3 File ID: 6444 (Revision:) Printed On: 4/28/2025
File ID: 6444 Enactment Number: R-19-0512
supplement payment program ("Partial Reimbursement Program") to administer Federal funds
for reimbursements to local service providers for Medicaid Managed Care patients who ("MMC")
are transported to the hospital by PEMT providers and has appropriated $54.787 million for this
Partial Reimbursement Program; and
WHEREAS, the City of Miami's ("City") Department of Fire -Rescue ("Department")
transported 9,330 MMC patients in Fiscal Year 2017-18 and received approximately $1.512
million for this service; and
WHEREAS, by participating in the new Partial Reimbursement Program for MMC
patients, the City and the Department can substantially increase revenues for MMC patient
transports; and
WHEREAS, under the new Partial Reimbursement Program, the City and the
Department as a provider of MMC patient transports must enter into certain Reimbursement
Program Agreement(s) by December 31, 2019 and must send the local matching portion for the
state share ("State Share") portion of Partial Reimbursement Program by January 2020, or such
other time as designated in writing by AHCA, for the first program year ("First Program Year")
ending June 30, 2020 by means of an intergovernmental transfer to AHCA in order to allow the
State to certify the public expenditure incurred by the Department and to become eligible to
receive the Federal share ("Federal Share") for partial reimbursement to the City and the
Department;
NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF
MIAMI, FLORIDA:
Section 1. The recitals and findings contained in the Preamble to this Resolution are
adopted by reference and incorporated as if fully set forth in this Section.
Section 2. The City is authorized' to participate in and to receive reimbursements under
the Partial Reimbursement Program for MMC patients transported by the Department with
administration of Federal funds by the State through ACHA for the First Program Year ending
June 30, 2020.
Section 3. The City Manager is hereby authorized' to negotiate and execute any and all
necessary agreements, all in a form acceptable to the City Attorney, in order to participate in the
Partial Reimbursement Program for the First Program Year, to provide the required First
Program Year City match by intergovernmental transfer(s) of funds to ACHA, and to receive
approximately 61.47 percent back from the Federal Share of the Partial Reimbursement
Program and 38.53 percent back from the State Share of the Partial Reimbursement Program.
Section 4. An amount not to exceed eight hundred ninety-nine thousand four hundred
seven dollars and forty eight cents ($899,407.48) is authorized' and appropriated from Account
No. 00001.181000.891000 to be transferred to ACHA which is approximately 38.53 percent of
the funding required to be paid as the City match by January 2020, or such other time as
designated in writing by AHCA, in order for the City to participate in the Partial Reimbursement
Program for the First Program Year.
Section 5. The City Manager and the Department, beginning October 1, 2020, are
required to provide to the City Commission an annual report on the First Program Year's
participation and partial reimbursements to the City.
City of Miami Page 2 of 3 File ID: 6444 (Revision:) Printed on: 4/28/2025
File ID: 6444 Enactment Number: R-19-0512
Section 6. The City Manager is further authorized' to negotiate and execute, in a form
acceptable to the City Attorney, all amendments, extensions, renewals, and modifications to any
and all First Program Year Agreements for the Partial Reimbursement Program.
Section 7. This Resolution shall become effective immediately upon its adoption and
signature of the Mayor.2
APPROVED AS TO FORM AND CORRECTNESS:
"ndez, City tor
ey 12/2/2019
1 The herein authorization is further subject to compliance with all requirements that may be imposed by
the City Attorney including but not limited to those prescribed by applicable City Charter and City Code
provisions.
2 If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days
from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective
immediately upon override of the veto by the City Commission.
City of Miami Page 3 of 3 File ID: 6444 (Revision:) Printed on: 4/28/2025