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Health Services Committee approves EMS contracts and Healthy Alliance Medicaid waiver participation
Summary
The Greene County Health Services Committee authorized multiple contracts and agreements, including two contracts with Greene County Emergency Medical Systems, Inc., participation with Healthy Alliance Foundation to implement an 1115 Medicaid waiver at no cost to the county, and a Community Health Needs Assessment agreement with Columbia County.
The Greene County Health Services Committee met and authorized several agreements to support emergency medical services and public-health programs.
The committee voted to authorize contracts with Greene County Emergency Medical Systems, Inc., covering countywide EMS services and a separate agreement covering service to the town of Houtcotte. The committee also authorized an agreement with Greene County Public Health and Healthy Alliance Foundation, Inc., d/b/a Healthy Alliance, to participate in an 1115 Medicaid waiver implementation and accepted a Community Health Needs Assessment and Community Health Improvement Plan agreement with Columbia County Community Healthcare Consortium. The committee accepted minutes from the Medical Professional Advisory Committee for April and June 2025.
Why it matters: the EMS contracts define the county’s formal relationship with its ambulance provider, and the Healthy Alliance agreement allows county public-health staff to bill Medicaid for services already recorded in the department’s electronic health record without adding staff or new county expense.
Committee staff explained that Healthy Alliance is “an organization that has been providing social supports for Medicaid members in the Capital District and the greater region” and that the county will participate in the 1115 Medicaid waiver “at no cost to us” while being reimbursed for services provided. When asked whether the county would add staff to implement the waiver, staff responded, “Nope. The staff we already have are already doing this.”
The CHNA/Community Health Improvement Plan agreement with Columbia County was authorized to support coordinated planning of community health priorities across county lines. Motions on the agenda were carried by voice vote; individual roll-call tallies were not specified on the record.
Votes at a glance - Authorize contract: Greene County with Greene County Emergency Medical Systems, Inc. (countywide) — carried (voice vote; tally not specified). - Authorize contract: Greene County with Greene County Emergency Medical Systems, Inc. (town of Houtcotte) — carried (voice vote; tally not specified). - Authorize agreement: Greene County Public Health with Healthy Alliance Foundation, Inc. to participate in 1115 Medicaid waiver — carried (voice vote; tally not specified). Staff said participation will be at no cost to the county and that existing staff will provide the billable services. - Authorize agreement: Greene County Public Health and Columbia County Community Healthcare Consortium — Community Health Needs Assessment/Community Health Improvement Plan — carried (voice vote; tally not specified). - Accept minutes: Medical Professional Advisory Committee (April and June 2025) — carried (voice vote; tally not specified).
The Health Services chair closed the item after committee members had no further business.
