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Ordinance authorizing the City of Pittsburgh ("City") to enter into an Intergovernmental Cooperation Agreement or Agreements with the Commonwealth of Pennsylvania, Department of Human Services ("DHS") with regard to Medicaid reimbursement services, for a term of one year plus two possible one-year extensions at the parties' mutual option. The Agreement(s) shall result in net revenue for the City but will require upfront expenses in an amount not to exceed Four Million Seven Hundred Thousand Dollars ($4,700,000) annually, for a total amount not to exceed Fourteen Million One Hundred Thousand Dollars ($14,100,000).
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WHEREAS, DHS is the single state agency responsible to administer the Medicaid Program in Pennsylvania, which is known as the Pennsylvania Medical Assistance ("MA") Program;
WHEREAS, the City operates a Department of Public Safety, Bureau of Emergency Medical Services, ("City EMS") that participates as a provider in the MA Program;
WHEREAS, the City EMS provides essential emergency medical services and serves as a vital safety net for numerous MA beneficiaries and other Pittsburgh residents;
WHEREAS, the City EMS incurs substantial costs to provide emergency medical services to MA beneficiaries; and,
WHEREAS, DHS intends to seek the approval from the Centers for Medicare and Medicaid Services ("CMS") to increase Pennsylvania Medicaid's minimum ground ambulance transportation fee ("Fee Schedule") for city-owned and operated EMS providers; and
WHEREAS, said Agreement(s) allow the City and its billing contractor to charge higher rates under the MA Program and can be expected to net significant revenue for the City; and
WHEREAS, said Agreement(s) will require upfront encumbrances as set forth below in order to reimburse DHS on a quarterly basis as required by the MA Program.
The Council of the City of Pittsburgh hereby enacts as follows:
SECTION 1 - CONDITIONS OF AGREEMENT
The Mayor and the Director of Public Safety...
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