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Fiscal Court approves optional ambulance Medicaid supplemental payment program
Summary
Nelson County approved participation in an optional federally funded ambulance supplemental payment program designed to calculate additional Medicaid payments based on actual costs; a third-party administrator would receive 10% of any additional payments.
Nelson County Fiscal Court voted on Dec. 2 to participate in an optional ambulance supplemental payment program that aims to increase Medicaid payments to county emergency medical services by basing supplemental payments on actual costs such as vehicle depreciation, salaries and capital equipment.
Michael (presenting EMS information) said the program requires extensive documentation and administrative work and that a third-party manager would oversee submissions; that manager would receive 10% of any additional payment the county receives. Michael said participation is optional, the county can opt out at any time, and payments under the program would not begin until Jan. 27 under the current timetable.
Court members discussed that the program is intended to close a gap between costs incurred and payments received, and that previous programs had produced mixed results for some providers. The presiding official described the program as low-risk for the county because the administrator is paid only from additional money actually recovered. The motion to participate was made and approved; the transcript records the item as "approved" with no roll-call vote recorded.
Next steps: county staff will work with the administrator to prepare required documentation and submit cost data; the court noted staff time may be needed to support the program.
