DATE: October 9, 2018
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Agreement for Fiscal Intermediary Services for the Emergency Medical Services Fund Physicians' Allocation
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with Advanced Medical Management Inc., for fiscal intermediary services for the Emergency Medical Services Fund, effective upon execution, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $3,720,000.
REPORT
Approval of the recommended action will allow for fiscal intermediary services for the Emergency Medical Services Fund (EMSF) to be provided by Advanced Medical Management Inc. (AMM), selected as the provider following the competitive bidding process on February 5, 2018. The recommended agreement will provide claim-processing services for the Department of Public Health, funded with EMSF funds derived from court mandated penalty assessments. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department would continue processing EMSF claims internally; however, the claims backlog would remain unresolved and the Department would need to explore other alternatives to streamline claim-processing.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The recommended agreement is funded with EMSF funds, which are derived from court-mandated penalty assessments. AMM will receive a $25,000 lump sum implementation fee and a $5 flat rate per claim. The total reimbursement will not exceed 9.5% of EMSF revenue or approximately $78,000 annually; $3,720,000 for the five-year term. The maximum compensation for FY 2018-19 is anticipated at $1.6 million, due to a two-year backlog of claims. The annual maximum compensation for the four additional years is anticipated at $...
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