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RESOLUTION NO. 945 OF 2015

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RESOLUTION NO. 945 OF 2015
RESOLUTION AUTHORIZING CITY TO ENTER INTO A MEDICAID SUPPLEMENTAL PAYMENT COOPERATIVE ENDEAVOR AGREEMENT WITH LOUISIANA AMBULANCE ALLIANCE AND OTHER PARTICIPATING PUBLIC AGENCY ENTITIES, AN INTERGOVERNMENTAL TRANSFER AGREEMENT WITH LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS, A MEMBER AFFILIATION AGREEMENT WITH LOUISIANA AMBULANCE ALLIANCE AND RELATED DOCUMENTS RELATIVE TO A MEDICAID SUPPLEMENTAL PAYMENT PROGRAM
WHEREAS, through the Ruston/Lincoln Ambulance Service (“Ruston EMS”) the City provides emergency medical services (“EMS”) to citizens of Ruston and Lincoln Parish. However, there is a wide gap between the rates charged by Ruston EMS and payments allowed by Medicaid as the ambulance patient who is on Medicaid cannot be billed for any amounts over the allowable limits, even though the limits are much lower than the base charges; and,
WHEREAS, in an attempt to facilitate the use of federal funds to make up some of such gap, the Louisiana Legislature in 2010 authorized the creation of a Medicaid Supplemental Payment Program (“MSPP”); and,
WHEREAS, to take advantage of the MSPP, the Louisiana Ambulance Alliance (“LAA”), the members of which are various EMS providers in the State, worked with the Louisiana Department of Health and Hospitals (“DHH”) to develop a MSPP for EMS providers to enable supplemental payments for certain emergency ambulance services. The MSPP was submitted by DHH and approved by the U. S. Centers for Medicare and Medicaid Services; and
WHEREAS, the MSPP developed by DHH is intended to reimburse participants all or part of the difference between the Medicaid payments made to qualifying EMS providers and the Average Commercial Rate (“ACR”) for these services which is the amount that Ruston EMS is reimbursed by commercial insurers for the same services; and,
WHEREAS, the City currently receives only approximately 7% of such gap funds otherwise available to the City while if the City participates with other Louisiana public agency members as a Large Urban Governmental entity (“LUG”), it will receive 100% of the gap funds available to the City. The City's participation in the MSPP would include an Intergovernmental Transfer Agreement with DHH pursuant to which the City would transfer available funds to DHH to be used as Medicaid matching funds for the purpose of receiving all eligible EMS Medicaid supplemental payments; and,
WHEREAS, in order to implement the MSPP, the City desires to enter into a Medicaid Supplemental Payment Cooperative Endeavor Agreement with LAA and the other participating public agency entities, an Intergovernmental Transfer Agreement with DHH, a Certification to DHH and a Member Affiliation Agreement with LAA and other related documents;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE CITY OF RUSTON, LOUISIANA:
1. The City enter into a Medicaid Supplemental Payment Cooperative Endeavor Agreement with LAA and the other participating public agency entities, an Intergovernmental Transfer Agreement with DHH, a Certification to DHH and a Member Affiliation Agreement with LAA.
2. The Mayor is authorized and empowered to execute the Medicaid Supplemental Payment Cooperative Endeavor Agreement with LAA and the other participating public agency entities; an Intergovernmental Transfer Agreement with DHH; a Certification to DHH; and a Member Affiliation Agreement with LAA, and all related documents pursuant to such terms and conditions as he shall deem advisable, and he is authorized to execute any other documents necessary to complete said participation, and do any and all things necessary and proper to carry out this Resolution and to fulfill its objects and purposes.
3. This Resolution shall become effective upon final adoption and signature of the Mayor.
Said Resolution having been read and considered by a quorum of the Board of Alderman, on motion to adopt by Alderwoman Angela Mayfield, seconded by Alderman Jedd Lewis, a record vote was taken and the following result was had:
YEA: ALDERWOMAN CAROLYN ELMORE CAGE
ALDERMAN JEDD LEWIS
ALDERWOMAN ANGELA R. MAYFIELD
ALDERMAN JIM PEARCE
ALDERMAN BRUCE SIEGMUND
NAY: NONE
ABSENT: NONE
WHEREUPON, the presiding officer declared the above Resolution duly adopted in full on this the 6th day of April, 2015.
ATTEST:
EMMETT GIBBS, CLERK
RONNY WALKER, MAYOR
1td: April 10, 2015

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