A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, AUTHORIZING THE CITY'S FIRE DEPARTMENT TO PARTICIPATE IN INTERGOVERNMENTAL TRANSFERS (IGT) WITH THE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) AND THE SUPPLEMENTAL PAYMENT PROGRAM FOR MEDICAID MANAGED CARE PATIENTS (PROGRAM), DURING THE STATE BUDGET PERIOD FROM JULY 1, 2020 THROUGH JUNE 30, 2021; AND FURTHER AUTHORIZING THE CITY MANAGER TO EXECUTE ANY REQUIRED AGREEMENTS OR DOCUMENTS RELATING TO THE CITY'S PARTICIPATION IN THE PROGRAM, SUBJECT TO REVIEW AND APPROVAL BY THE CITY ATTORNEY.

The Miami Beach Fire Department (MBFD) transports approximately 7,000 patients annually to local hospital emergency rooms, generating approximately $2 million per year from Medicare, Medicaid, private commercial insurance companies and individual payers. The transport services are billed and collected by a private contractor via R1 (formerly Intermedix) per Resolution 2017-002-JC. Of the total patients transported to the hospital each year, 14% are covered by Medicaid. The average reimbursement for the services per Medicaid patient is $115. This amount is significantly lower when compared to reimbursements of $275 and $501 from Medicare and patients with private health insurance, respectively. 

In 2018, the State of Florida authorized creation of a Certified Public Expenditure (CITE) program to provide supplemental payments to publicly owned and operated emergency medical transportation providers for Medicaid fee for service patients transported to local hospitals.  This program leverages the approximately 61.47 percent share of federal Medicaid reimbursement by allowing the State to certify the public expenditure incurred by MBFD as the State share.

The Miami Beach Fire Department (MBFD) transports approximately 7,000 patients annually to local hospital emergency rooms, generating approximately $2 million per year from Medicare, Medicaid, private commercial insurance companies and individual payers. The transport services are billed and collected by a private contractor via R1 (formerly Intermedix) per Resolution 2017-002-JC. Of the total patients transported to the hospital each year, 14% are covered by Medicaid. The average reimbursement for the services per Medicaid patient is $115. This amount is significantly lower when compared to reimbursements of $275 and $501 from Medicare and patients with private health insurance, respectively.

In 2018, the State of Florida authorized creation of a Certified Public Expenditure (CITE) program to provide supplemental payments to publicly owned and operated emergency medical transportation providers for Medicaid fee for service patients transported to local hospitals. This program leverages the approximately 61.47 percent share of federal Medicaid reimbursement by allowing the State to certify the public expenditure incurred by MBFD as the State share.