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File #: 2021-1330    Version: 1
Type: Ordinance Status: Passed Finally
File created: 3/19/2021 In control: Committee on Intergovernmental Affairs
On agenda: 3/23/2021 Final action: 4/6/2021
Enactment date: 4/6/2021 Enactment #: 11
Effective date: 4/8/2021    
Title: 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 three years plus one possible two-year extension 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 One Million Three Hundred Sixty-Three Thousand Eight Hundred Ten Dollars ($1,363,810) annually, for a total amount not to exceed Six Million Eight Hundred Nineteen Thousand Fifty Dollars ($6,819,050).
Indexes: AGREEMENTS, COOPERATION AGREEMENT/S
Attachments: 1. 2021-1330 Cover Ltr IGA Medicaid letter (1), 2. 2021-1330 DHS Ambulance_Pittsburgh_Model_updated, 3. Summary 2021-1330
title
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 three years plus one possible two-year extension 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 One Million Three Hundred Sixty-Three Thousand Eight Hundred Ten Dollars ($1,363,810) annually, for a total amount not to exceed Six Million Eight Hundred Nineteen Thousand Fifty Dollars ($6,819,050).

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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 will seek the approval of the Centers for Medicaid Services ("CMS") to develop new Managed Care Organizations (MCOs) and implement within Pennsylvania's MA managed care delivery system a minimum ground ambulance transportation fee ("Fee Schedule"); 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.


Be it resolved by the Council of the City of Pittsburgh hereby enacts as follows:

SECTION 1 - C...

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