Polk County continues Medicaid IGT participation for Fire Rescue; staff projects ~$11.66M return

Oct 21, 2025

The board ratified Polk County Fire Rescue's continued participation in AHCA's public emergency medical transportation Medicaid managed care supplement program; staff said the county will provide an IGT of about $4.99M and receive an estimated total return of roughly $11.66M (including $6.67M in new federal funds), restricted for emergency medical transport services.

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Polk County commissioners voted Oct. 21 to ratify a letter of agreement and provider questionnaire that keeps Polk County Fire Rescue in Florida's AHCA public emergency medical transportation Medicaid supplement program. County staff told the board the program works through managed-care organizations to identify qualifying Medicaid transports; Polk County provides an intergovernmental transfer (IGT) to draw additional federal matching funds.

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