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Home My WebLink About2020-09-21-I01J IGT of Public Funds Agreement_IDHSCITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: September 21st, 2020 AGENDA ITEM:Consideration of approval of Intergovernmental Transfer (IGT) of Public Funds Agreement between the IA Department of Human Services (IA DHS) and The City of Waukee for fiscal year 2022. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: The City of Waukee is participating in a program called Ground Emergency Medical Transport (GEMT). GEMT is a supplemental payment for transport of Medicaid patients. Supplemental payments come from the Federal gov’t (CMS), the State of IA takes 38% and the remaining is provided to the city to. This is a state wide program, available to publicly funded EMS transport agencies. The IGT facilitates the transfer of funds between the city and state. A similar IGT was approved in 2019 & 2020. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Currently IA Medicaid pays roughly $120 out of a $600 transport bill. The GEMT program is intended to close the gap. Overall it will be a positive impact to the revenue. The fire Dept. and finance are working on extensive cost reports required by the state. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: Staff recommends approval. RECOMMENDATION: Approve the resolution. ATTACHMENTS: I. Proposed Resolution & Agreement PREPARED BY: Fire Chief Clint Robinson REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: AGENDA ITEM: I1J THE CITY OF WAUKEE, IOWA RESOLUTION 2020- APPROVING INTERGOVERNMENTAL TRANSFER (IGT) OF PUBLIC FUNDS AGREEMENT BETWEEN THE IA DEPARTMENT OF HUMAN SERVICES (IA DHS) AND THE CITY OF WAUKEE (FISCAL YEAR 2022) IN THE NAME AND BY THE AUTHORITY OF THE CITY OF WAUKEE, IOWA WHEREAS, the City of Waukee, Iowa is a duly organized municipality within Dallas County; AND, WHEREAS, the City of Waukee participates in the Ground Emergency Medical Transport (GEMT) program, which provides supplemental payment for the transport of Medicaid patients; AND, WHEREAS, the GEMT program is offered statewide to publicly funded emergency medical service (EMS) transport agencies; AND, WHEREAS, an Intergovernmental Transfer of Public Funds Agreement is proposed at no cost to the City of Waukee in order to facilitate the transfer of GEMT funds between the City and state. NOW THEREFORE BE IT RESOLVED by the City of Waukee City Council in session this 21st day of September, 2020, that it hereby approves an Intergovernmental Transfer (IGT) of Public Funds Agreement between the IA Department of Human Services (IA DHS) and the City of Waukee. ____________________________ Courtney Clarke, Mayor Attest: ___________________________________ Rebecca D. Schuett, City Clerk RESULTS OF VOTE: AYE NAY ABSENT ABSTAIN Anna Bergman R. Charles Bottenberg Chris Crone Larry R. Lyon Ben Sinclair Updated July 30, 2020 INTERGOVERNMENTAL TRANSFER OF PUBLIC FUNDS AGREEMENT BETWEEN THE IOWA DEPARTMENT OF HUMAN SERVICES AND Ground Emergency Medical Transportation Provider (GEMT Provider) This Intergovernmental Transfer Agreement (Agreement) is entered into between the Iowa Department of Human Services (IDHS) and the ground emergency medical transportation (GEMT) Provider. It provides for an intergovernmental transfer of funds to the IDHS from the GEMT Provider in order to provide the non-federal share of the reconciled cost reimbursement amount for the uncompensated Medicaid cost associated with GEMT services. The GEMT Provider is authorized by House File (HF) 2285 of the 2018 Iowa legislative session to enter into and carry out an Intergovernmental Transfer (IGT) Agreement to transfer funds through IGTs to the IDHS for use as the non-federal share of Medicaid expenditures. AGREEMENT 1.GEMT Program Compliance. Attached hereto as Exhibit A is State Plan Amendment IA-19-002 (SPA), which address the GEMT Program. The GEMT Provider shall at all times comply with all requirements of the SPA. 2.Compliance with Provider Agreement and GEMT Program Eligibility. The GEMT Provider’s Iowa Medicaid Provider Agreement is incorporated herein by reference. The parties stipulate to the inclusion of any future amendments or replacement of any such provider agreements by this reference. The GEMT Provider hereby represents, warrants and covenants that is and at all relevant times will be an Eligible GEMT Provider as that term is defined in the SPA. If at any time the GEMT Provider’s status changes such that it is no longer an Eligible GEMT Provider, the GEMT Provider shall immediately notify the IDHS. 3.Fund Transfer. The GEMT Provider agrees to transfer funds to IDHS at the times and in the amounts determined in accordance with the following paragraphs of this Agreement. The transfer shall be made prior to the payment by IDHS for the uncompensated Medicaid cost associated with GEMT services. The GEMT Provider will transfer funds to IDHS equivalent to the non-federal share of the payments to be made upon notification by IDHS. 4.Funds Certification. The GEMT Provider shall certify that the funds transferred qualify for federal financial participation (FFP) pursuant to 42 CFR part 433 subpart B, and are not derived from impermissible sources such as recycled Medicaid payments, federal money excluded from use as State match, impermissible taxes, and non-bona fide provider-related donations. Impermissible sources do not include revenue received from programs such as Medicare or Medicaid to the extent that the program revenue is not obligated to the State as the source of funding. City of Waukee Updated July 30, 2020 5.Record Retention and Access. The parties agree that each shall maintain necessary records and supporting documentation applicable to the uncompensated Medicaid cost associated with GEMT services payments to assure that claims for total funds and federal funds are in accordance with applicable federal requirements, including but not limited to those record retention requirements set forth in the SPA. The parties agree to make those records available to the parties and to any and all state or federal oversight authorities immediately upon request. 6.Notices: Any written notice required by this Agreement shall be sent to: For: GEMT Provider Printed Name: Title: Address: E-mail address For IDHS: Printed Name: Title: Address: E-mail address: 7.Repayment Obligation: In the event that any State and/or federal funds are deferred and/or disallowed as a result of any audits or expended in violation of the laws applicable to the expenditure of such funds, the GEMT Provider shall be liable to the Agency for the full amount of any claim disallowed and for all related penalties incurred. The requirements of this paragraph shall apply to the GEMT Provider as well as any subcontractors of the GEMT Provider. To the extent that the GEMT Provider receives Iowa Medicaid Enterprise Provider Cost Audit and Rate Setting Unit 611 5th Avenue Des Moines, IA 50309 costaudit@dhs.state.ia.us City of Waukee Clint Robinson Mayor 230 W Hickman RD. Waukee, IA 50263 crobinson@waukee.org Updated July 30, 2020 payments that exceed the permissible amount allowed pursuant to the SPA, the parties hereby deem the excess funds received by the GEMT Provider to be an “overpayment” subject to return to the IDHS within 60 days pursuant to Section 2.5 of the Provider Agreement. 8.Assignment: This Agreement is not assignable. 9.No Third Party Beneficiaries. There are no third party beneficiaries to this Agreement. This Agreement is intended only to benefit the IDHS and the GEMT Provider. 10.Amendment: This Agreement may be modified at any time by the written agreement of both parties. 11.Term & Termination: This Agreement covers the period beginning on or after July 1, 2021 and ending June 30, 2022. This Agreement may be canceled by either party after giving thirty (30) days prior notice in writing to the other party. All obligations of the parties incurred or existing under this Agreement as of the date of expiration or termination survive the expiration or termination of the Agreement. 12.Execution: In consideration of the mutual covenants in this Agreement and for other good and valuable consideration, the receipt, adequacy and legal sufficiency of which are hereby acknowledged, the parties have entered into this Agreement and have caused their duly authorized representatives to execute this Agreement. GEMT Provider Signature Date Printed Name Title IOWA DEPARTMENT OF HUMAN SERVICES Director Date City of Waukee Mayor