DATE: July 10, 2018
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive Agreement for Paramedic Ambulance Services with the City of Sanger
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Agreement with the City of Sanger, for paramedic ambulance services, effective July 1, 2018 through June 30, 2019 ($33,750).
REPORT
Approval of the recommended action will continue paramedic ambulance services in the Fresno County Ambulance Zone I, Sanger Response Area, which encompasses the City of Sanger and the surrounding area. The recommended agreement satisfies the requirement of Title 22 of the California Code of Regulations (Title 22) that the County to have a written agreement with paramedic provider agencies. The services will be funded with Health Realignment, with no Net County Cost.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended agreement, the existing agreement would expire and the County would be in violation of State regulations until an agreement for paramedic ambulance services is established.
RETROACTIVE AGREEMENT:
The agreement is retroactive to July 1, 2018, due to extended negotiations and delays related to the City of Sanger's approval process.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of the agreement is $33,750. The agreement will be fully offset with Health Realignment funds. Sufficient appropriations will be included in the Department of Public Health Org 5620 FY 2018-19 Recommended Budget.
DISCUSSION:
Since 1978, the County has provided reimbursement to rural ambulance service providers in Fresno County. Reimbursement consists of monthly payments to each agency for estimated dry runs, medically indigent services, and uncollectible charges, which are based upon documentation from ambulance providers f...
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