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File #: 23-085   
Status: Agenda Ready
File created: 1/3/2023 In control: Clark County Board of Commissioners
On agenda: 1/17/2023 Final action:
Title: Approve and authorize the Chair to sign Amendment #1 to the interlocal contract with the State of Nevada Department of Health and Human Services for the reimbursement program for ground ambulance transportation services in accordance with the State of Nevada Medicaid State Plan; or take other action as appropriate. (For possible action.)
Attachments: 1. Staff Report, 2. 2B-Interlocal Contract Amendment_County Fire Department Contract

CLARK COUNTY BOARD OF COMMISSIONERS

AGENDA ITEM

 

Petitioner:

John Steinbeck, Fire Chief

Recommendation: 

title

Approve and authorize the Chair to sign Amendment #1 to the interlocal contract with the State of Nevada Department of Health and Human Services for the reimbursement program for ground ambulance transportation services in accordance with the State of Nevada Medicaid State Plan; or take other action as appropriate.  (For possible action.)

body

 

 

FISCAL IMPACT:

Fund #:

4300.000

Fund Name:

Fire Service Capital

Fund Center:

1200310000

Funded PGM/Grant:

Not Relevant

Amount:

Not to exceed $101,312,663.35

Description:

GEMT Settlement Program

Additional Comments:

N/A

 

BACKGROUND: 

On December 1, 2020, the Board of County Commissioners approved an interlocal contract with the State allowing the Clark County Fire Department to obtain reimbursement of costs incurred for emergency transportation and ground ambulance services provided to eligible recipients in accordance with the State of Nevada Medicaid State Plan.  This is the first amendment to the original contract, which increases the maximum amount from $12,700,000.00 to $101,312,663.35 due to higher-than-expected cost settlements.

Since the establishment of the Ground Emergency Medical Transportation Program (GEMT) Program in FY16, the Clark County Fire Department has received over $19.3 million dollars in settlement and is expected to receive an additional $14.3 million for covered costs in FY21.  Cost settlement for FY22 has yet to be determined.  The settlement payments are based on a cost allocation plan approved by the State and are being submitted annually. 

The interlocal contract is effective from July 1, 2021 to June 30, 2025 unless terminated prior to the date by either party.

The District Attorney’s Office has reviewed and approved the agreement as to form.