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Miramar to accept roughly $248,000 net from Medicaid supplemental payment program, staff says
Summary
Fire Rescue Division Chief Jamie Torres told commissioners the city would receive $434,109.72 through the PEMT MCO program, require an intergovernmental transfer up to $185,712.14, and realize about $248,397.58 in new net revenue if the commission authorizes the agreement.
Division Chief Jamie Torres of Fire Rescue presented a proposed Public Emergency Medical Transportation (PEMT) Managed Care Organization agreement with the Agency for Healthcare Administration. Staff said participation would allot the city $434,109.72 in gross payments, require an intergovernmental transfer not to exceed $185,712.14, and yield approximately $248,397.58 in net new revenue for Miramar.
Commissioner Shahrazar and others asked how the program operates, who is billed, and whether Medicaid managed care plans cover the costs; Torres explained the funds flow through the program and are based on prior call volumes. "This is that money that we're putting in is for covering that," Torres said, describing the mechanics as an aggregated account that fluctuates based on prior call lines. The commission approved the item unanimously.
The presentation noted the agreement must be executed and returned to the Agency for Healthcare Administration before Oct. 1, 2025. Staff said they will provide further details if requested and that the program budget entries will be reflected in the city's FY2026 revenue assumptions.
