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County formalizes ambulance housing agreement and approves Gold Cross billing approach
Summary
Commissioners approved an interagency agreement to allow ambulance housing in a local fire-station bay and voted to adopt Gold Cross's billing recommendation to charge the same gross rates to residents and nonresidents and apply county discounts after insurance payment.
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Franklin County commissioners approved two items affecting emergency medical services: an interagency facility‑use agreement to house ambulances in a fire station bay and a billing-policy change recommended by Gold Cross.
Commissioner (S2) described an agreement enabling the ambulance association to house a unit in a fire station that had spare capacity; commissioners reviewed the agreement and voted to accept it. Commissioner (S4) praised the improved working relationship between the fire department and ambulance association.
On billing, staff described a recommendation from Gold Cross to bill all patients the same gross rate and apply county discounts after insurance payments rather than discounting before insurance is billed. The presenter said this approach prevents a “double haircut” to county revenue and should not affect Medicare or Medicaid. The board moved to adopt Gold Cross’s recommendation and approved the motion by voice vote.
Board members said the changes should improve administrative clarity and revenue capture while maintaining discounts for county residents.

