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Lancaster Council backs staff to pursue state ambulance supplemental payment program
Summary
Council heard an overview of South Carolina’s Medicaid-funded Ambulance Supplemental Payment Program, asked about costs and fraud safeguards, and directed staff to begin the opt‑in process; staff estimated roughly $245,000 in new federal funds net to the county annually against about $100,000 in local IGT transfers.
Clay Cato (identified in the record as an EMS director) and Garrett Abrahamson of PCG briefed Lancaster County Council on the Ambulance Supplemental Payment Program (ASPP), a Medicaid managed-care supplemental payment that uses intergovernmental transfers (IGTs) to draw down federal funds for participating counties.
Abrahamson explained the mechanics: the program applies an add-on rate ($325 per qualifying transport in the example) to Medicaid managed-care transports and requires participating local entities to make an IGT that the state…
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