HomeMy WebLinkAboutCity of Tamarac Resolution R-2016-121TR#12870
October 5, 2016
Page 1
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2016 - / c" /
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF TAMARAC, FLORIDA AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO APPROVE AND
EXECUTE AN AMENDMENT TO THE AGREEMENT WITH
ADVANCED DATA PROCESSING, INC. (ADPI) TO PROVIDE
FOR THE ADMINISTRATION, PROCESSING AND
COLLECTION OF ALL COSTS ASSOCIATED WITH
TRANSPORT OF EMERGENCY MEDICAL SERVICES (EMS)
PATIENTS AND MEDICAL BILLING TO INCLUDE EMS
BILLING AND RELATED PROFESSIONAL SERVICES ON
BEHALF OF THE CITY OF TAMARAC FIRE RESCUE
DEPARTMENT FOR A PERIOD OF THREE (3) YEARS
EFFECTIVE UPON EXECUTION OF THE AMENDMENT;
PROVIDING FOR RENEWALS, AND AUTHORIZING THE
CITY MANAGER TO EXECUTE ANY SUBSEQUENT
RENEWAL OPTIONS; PROVIDING FOR CONFLICTS;
PROVIDING FOR SEVERABILITY; AND PROVIDING FOR
AN EFFECTIVE DATE.
WHEREAS, Tamarac Fire Rescue is required to provide basic and advanced
life support services to the citizens and visitors of the City of Tamarac and to
properly invoice and collect fees from the patients who utilize these services; and
WHEREAS, Tamarac Fire Rescue transports an estimated 8,000 patients
per year from which approximately 690 are Medicaid patients; and
WHEREAS, the City Commission of the City of Tamarac awarded an
Agreement for Medical Billing Services to ADPI for a five (5) year term effective
October 1, 2016 through September 30, 2021 via Resolution R-2016-83 at its
meeting of August 24, 2016, a copy of said resolution is on file with the City Clerk;
and
TR#12870
October 5, 2016
Page 2
WHEREAS, the Agency for Healthcare Administration for the State of
Florida sought Federal Authority to amend Title XIX of the Social Security Act which
provides funding for the Medicaid State Plan attached here to as Exhibit I "; and
WHEREAS, the amendment seeks federal authority to implement a new
reimbursement methodology for certified public expenditures program for
emergency medical transportation services, and
WHEREAS, this program provides supplemental payments for an eligible
Public Emergency Medical Transport (PEMT) entity that meets specified
requirements and provides emergency medical transport service to Medicaid
beneficiaries; and
WHEREAS, Tamarac Fire Rescue provides emergency medical transport
services to a significant number of Medicaid patients annually; and
and
WHEREAS, Tamarac Fire Rescue is eligible to participate in this program;
WHEREAS, supplemental payments are available only for allowable costs
that are in excess of other Medicaid revenue that the eligible PEMT entities received
for emergency medical transportation services to Medicaid eligible recipients; and
WHEREAS, ADPI has evaluated the City's Medicaid transports for calendar
year 2016 and 2017 and has estimated revenue recovery of $104,242 for calendar
year 2016 and $623,611 for calendar year 2017; and
WHEREAS, ADPI is offering the City of Tamarac a flat fee percentage
charge of 15% of the net amount collected for Medicaid accounts; and
WHEREAS, ADPI has proposed Amendment I" to the current ADPI Billing
Agreement for EMS billing and related professional services attached hereto as
Exhibit "2"; and
TR#12870
October 5, 2016
Page 3
WHEREAS, Amendment "1" is effective for a period of three (3) years which
will coincide with the first three (3) years of the original term of five (5) years of the
term of the existing Agreement, through September 30, 2019; and
WHEREAS, Amendment 1 may be renewed to coincide with the final two (2)
years of the ADPI Agreement through September 30, 2021, and to coincide with the
additional two (2) year renewal terms available for the Agreement with ADPI, and
will allow City staff the opportunity to renegotiate the terms and pricing of
Amendment 1 based on the market conditions in place prior to the execution of the
renewal and upon satisfactory performance and the mutual agreement of both
parties; and
WHEREAS, it is the recommendation of the Director of Financial Services
and the Purchasing and Contracts Manager and the Fire Chief that the City
Commission of the City of Tamarac approve and execute Amendment "1" to the
Agreement with ADPI for three (3) year period effective upon execution of the
Amendment of Services Agreement through September 30, 2019 and allowing for
subsequent renewals for the period of October 1, 2019 through September 30,
2021, as well for any subsequent renewal terms based on any potential re-
negotiation and upon satisfactory performance and mutual agreement of both
parties.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA:
SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
Resolution. The Exhibits attached hereto are incorporated herein and made a
specific part hereof.
TR#12870
October 5, 2016
Page 4
SECTION 2: The appropriate City Officials are hereby authorized to approve
and execute Amendment "1" to the Agreement with Advanced Data Processing, Inc.
attached hereto as Exhibit "2" with ADPI for the administration, processing and
collection of all EMS patient to include EMS Billing and Related Professional
Services on behalf of the City of Tamarac Fire Rescue Department for a three (3)
year period effective upon execution of the Amendment of Services Agreement
through September 30, 2019 and allowing for subsequent renewals for the period
of October 1, 2019 through September 30, 2021, as well for any subsequent
renewal terms based on any potential re -negotiation and upon satisfactory
performance and mutual agreement of both parties.
SECTION 3: The City Manager is hereby authorized to approve any
subsequent renewals of Amendment "1" to the Agreement with ADPI upon
satisfactory performance, re -negotiation of terms and mutual agreement of both
parties.
SECTION 4: That all Resolutions or parts of Resolutions in conflict herewith
are hereby repealed to the extent of such conflict.
SECTION 5: If any clause, section, other part or application of this Resolution
is held by any court of competent jurisdiction to be unconstitutional or invalid, in part
or application, it shall not affect the validity of the remaining portions or applications
of this Resolution.
C
E
1
TR#12870
October 5, 2016
Page 5
SECTION 6: This Resolution shall become effective immediately upon its
passage and adoption.
PASSED ADOPTED AND APPROVED this )1b day of NV� 2016.
ATTEST:
CLERKwl
PATRICIA CITY r
I HEREBY CERTIFY THAT I HAVE
APPROVED THIS RESOLUTION
AS TO FORM
A J/16.' a
me/
lctL-f4
SAMAJtL S. GORE
CITY ATTORNEY
WWIi�,w"w"
RECORD OF COMMISSION VOTE:
MAYOR DRESSLER
DIST 1- COMM. BUSHNELL
DIST 2: COMM. GOMEZ
DIST 3- VICE MAYOR GLASSER .�
DIST 4: COMM. PLACKO-�
TR#12870 - Exhibit 1
December 15, 2015
Ms. Jackie Glaze
Associate Regional Administrator
Division of Medicaid & Children's Health
Centers for Medicare and Medicaid Services
61 Forsyth Street, Suite 4T20
Atlanta, Georgia 30303-8909
Dear Ms. Glaze:
RICK SCOTT
GOVERNOR
ELIZABETH DUDEK
SECRETARY
Enclosed for your consideration is an amendment to our Title XIX Medicaid State Plan. The
Transmittal Number is: FL SPA 2015-014 and the title is: Certified Public Expenditure Program
for Emergency Medical Transportation.
This amendment seeks federal authority to implement a new reimbursement methodology for a
certified public expenditure program for emergency medical transportation services. This
program provides supplemental payments for an eligible Public Emergency Medical
Transportation (PEMT) entity that meets specified requirements and provides emergency
medical transportation services to Medicaid beneficiaries. Supplemental payments provided by
this program are available only for allowable costs that are in excess of other Medicaid revenue
that the eligible PEMT entities receive for emergency medical transportation services to
Medicaid eligible recipients. Eligible PEMT entities must provide certification to the Agency for
Health Care Administration (AHCA) that they have made a total funds expenditure and that the
amount claimed is eligible for federal financial participation (FFP).
Thank you for your consideration of this amendment. Please contact April Cook of my staff by
phone at (850) 412-4691 or by email at April.Cook@ahca.my2orida,com if you need any
additional information.
Sincerely,
Justin M. Senior
Deputy Secretary for Medicaid
JMS/ac
Enclosures: State Plan Documents and Forms
2727 Mahan Drive a Mail Stop #8 Face book.com/AHCAFlorida
Tallahassee, FL 32308 Youtube,com/AHCAFlorida
AHCA.MyFlorida.corn Twitter.com/AHCA_FL
SlideShare.net/AHCAFlorida
DEPARTMENT OF HEALTH AND HUMAN SERVICES
FORM APPROVED
HEAL I H CAKL HNANCINU ADMINIh IRA I ION ON113 NO.
ITRANSMITTAL AND NOTICE OF APPROVAL OF I I. TRANSMITTAL NUMBER: 2 -S'I'X
STATE PLAN MATERIAL 2015-014 i Florida
FOR: HEALTH CARE FINANCING ADMINISTRATION 3. PROGRAM IDENTIFICATION: TITLE XIX OF "THE
SOCIAL SECURITY ACT (MEDICAID)
TO: REGIONAL. ADMINISTRATOR 4. PROPOSED EFFECTIVE DATE
HEALTH CARE- FINANCING ADMINISTRATION October 1, 2015
DEPARTMENT OF HEALTH AND HUMAN SERVICES
5, TYPE OF PLAN MATERIAL (Check One):
❑ NEW STATE PLAN El AMENDMENT TO BE CONSIDERED AS NEW PLAN Z AMENDMENT
COMPLETE BLOCKS 6 THRU 10 IF THIS IS AN AMENDMENT (Separate Transmittal or each amendment
6, FEDERAL STATUTE/REGULATION CITATION: 7. FEDERAL BUDGET IMPACT: (in thousands)
42 CFR 431.53 FEY 2015-2016 $15,000
FFY 2016-2017 $15,000
8. PAGE NUMBER OF THE PLAN SECTION OR ATTACHMENT: 9. PAGE NUMBER OF THE SUPERSEDED PLAN SECTION
New: page 34a-34b of 4. 1 9-B OR ATTACHMENT (JfApplicable):
10. SUBJECT OF AMENDMENT: Certified Public Expenditure Program for Emergency Transportation.
11. GOVERNOR'S REVIEW (Check One):
r� GOVERNOR'S OFFICE REPORTED NO COMMENT OTHER, AS SPECIFIED:
COMMENTS OF GOVERNOR'S OFFICE ENCLOSED Reviewed by the Deputy Secretary for Medicaid
NO REPLY RECEIVED WITHIN 45 DAYS OF SUBMITTAL who is the Governor's designee.
12. SIGNATUREJOf ST
13. TYPED NAME: 41
Mr. Justin M. Senior
14. TITLE:
Deputy Secretary for Medicaid
15. DATE SUBMITTED:
i;t - 15�- I
OFFICIAL: 1 16, RETURN TO:
Mr. Justin M. Senior
Deputy Secretary for Medicaid
Agency for Health Care Administration
2727 Mahan Drive, Mail Stop #8
Tallahassee, FL 32308
Attention: April Cook
FORM HCFA-179 (07-92)
Attachment 4.19-8
SUPPLEMENTAL PAYMENT FOR PJ
TRANSPORTATION PROVIDERS
This program provides supplemental payments for an eligible Public Emergency Medical
Transportation (PEMT) entity that meets specified requirements and provides emergency
medical transportation services to Medicaid beneficiaries.
Supplemental payments provided by this program are available only for allowable costs that are
in excess of other Medicaid revenue that the eligible PEMT entities receive for emergency
medical transportation services to Medicaid eligible recipients. Eligible PEMT entities must
provide certification to the Agency for Health Care Administration (AHCA) that they have made
a total funds expenditure and that the amount claimed is eligible for federal financial
participation (FFP).
Supplemental payments will be made annually on a State Fiscal Year (SFY) schedule in a lump -
sum basis after the conclusion of the subject SFY but prior to the end of certified forward period,
September 30. Payments will not be paid as individual increases to current reimbursement rates
for specific services.
This supplemental payment program will be in effect beginning October 1, 2015.
A. Definition of a Public Emergency Medical Transportation (PEMT) Entity:
A PEMT entity is determined eligible if it is a county, a city, a healthcare district or Public
Universities in Florida and provides emergency medical transportation services for
Medicaid beneficiaries.
B. Supplemental Payment Methodology:
Supplemental payments provided by this program to an eligible PEMT entity will consist
of FFP for Medicaid uncompensated emergency medical transportation costs based on
the difference between the Medicaid reimbursement amount and the providers actual
cost for providing emergency medical transportation services to eligible Medicaid
recipients. The supplemental payment methodology is as follows:
1. As described in Section C, the expenditures certified by the eligible PEMT entity to
the State will represent the payment eligible for FFP. Allowable certified public
expenditures will determine the amount of FFP claimed.
2. In no instance will the amount certified pursuant to paragraph CA, when combined
with the amount received for emergency medical transportation services pursuant to
any other provision of this State Plan or any Medicaid waiver granted by the Centers
for Medicare and Medicaid Services exceed 100 percent of the allowable costs for
such emergency medical transportation services.
Amendment: 2015-014
Effective: 10/01/15
Supersedes: New
Approved:
34a
Attachment 4.19-8
SUPPLEMENTAL PAYMENT FOR PUBLICLY OWNED OR OPERATED EMERGENCY MEDICAL
TRANSPORTATION •
3. Pursuant to paragraph C. 1, the eligible PEMT entity will certify to AHCA, on an
annual basis, the amount of its eligible uncompensated costs for providing
emergency medical transportation services for Medicaid beneficiaries. The
supplemental Medicaid reimbursement received pursuant to this segment of the
State Plan will be distributed in one annual Jump -sum payment after submission of
such annual certification,
4. Emergency medical transportation service costs for the subject year that are certified
pursuant to paragraph C, 1 will be computed in a manner consistent with Medicaid
cost principles regarding allowable costs, and will only include costs that satisfy
applicable Medicaid requirements.
C. Responsibilities and Reporting Requirements of the eligible PEMT Entity:
An eligible PEMT entity must do all of the following:
1. Certify that the claimed expenditures for emergency medical transportation services
made by the eligible PEMT entity are eligible for FFP.
3. Submit data as specified by AHCA to determine the appropriate amounts to claim as
expenditures qualifying • FFP.
4, Keep, maintain and have readily retrievable, any records required by AHCA or the
Centers for Medicare and Medicaid Services.
D. AHCA's Responsibilities:
1. AHCA will submit claims for FFP for the expenditures for services that are
allowable expenditures under federal law.
2. AHCA will, on an annual basis, submit any necessary materials to the federal
government to provide assurances that FFP will include only those expenditures
that are allowable under federal law.
Amendment: 2015-014
Effective: 10/01/15
Supersedes: New
Approved:
34b
No Text
Cook, April
W
From:
FL-Rules@dos.state.ft.us
Sent-
Friday, September 25, 2015 2:36 PM
To:
Cook, April
Subject:
Submit Notice in FAR
You have successfully submitted a notice for publication in the Florida Administrative Register on 9/25/2015 2:35:38 PM.
WTJAWTqpw�w - W1 �#-
Organization: -•
• type: Miscellaneous
Issue: 41/188
Once this notice is published you will be able to view it by clicking the following link:
http:ZZwww.FLRuies,orR/p,ateway,/View Notice.asl2?id=16535219
You may contact the Florida Administrative Register office at (850)245-6270 for additional information.
@ItsWorkingFL: https:/Ltwitter.com/ftsWorkingFL The Department of State is leading the commemoration of Florida's
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Miscellaneous
Medicaid
State Plan Amendment
The Agency for Health Care Administration (Agency) will be requesting an amendment to the
Florida Medicaid State Plan, The 2015 General Appropriations Act (GAA) directed the Agency
to implement a certified public expenditure program for emergency medical services. The
Agency will be seeking federal authority to implement a new reimbursement methodology to
provide supplemental payments for emergency ground and air ambulance transportation
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in Florida Medicaid. Interested parties may contact the following staff for further information-
Derica Smith, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida
32308-5407, telephone: 850-412-4239, e-mail: Derica,smithaahca.myflbrida.com.
Health Director
Seminole Tribe of Florida
3006 Josie Billie Avenue
Hollywood, FL 33024
I
The purpose of this letter is to inform you that the Agency for Health Care Administration
(Agency) intends to submit an amendment to the Title XIX Florida Medicaid State Plan to the
Centers for Medicare and Medicaid Services (CMS). This amendment will seek to implement a
certified public expenditure program for emergency transportation services. The Agency will be
pursuing federal authority to implement a new reimbursement methodology to provide
supplemental payments for emergency ground and air ambulance transportation services
furnished by government or publicly owned and operated ambulance providers enrolled in
Florida Medicaid.
NOW
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we don't receive any response from you within 30 days, Florida Medd will proceed With the
submission to CM&
Sincerely,
Justin M. enior
Deputy Secretary for Medicaid
JMS/ac
cc: Kathy Wilson, Seminole Health Department
2727 Mahan Drive , Mail Stop #8 Face book.com/AHCAFlorida
Tallahassee, FL 32308 Youtube,com/AHCAFIorida
AHCA.MyFlorida.com Twitter.com/AHCA FL
SlideShare.net/AHCAFlorida
147, �* f �
Ms. Cassandra Osceola
Health Director
Miccosulkee Tribe of Indians of Flon
P.O. Box 440021, Tamiami Station
Miami, FIL 33144
ELIZABETH DUDEK
SECRETARY
pursuing federal authority to imple ent a new reimbur ement methodology to provide
supplemental payments for emergency ground and air ambulance transportation services
furnished by government or publicly owned and operated ambulance providers enrolled in
Florida Medicaid.
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r Dy e-Illail at
U161191A #1 My Starl fy pnone al t=1 Q1 I =111 F-rol NO -a-
we don't receive any response from you within 30 days, Florida Medicaid will proceed with the
submission to CMS,
Sincerely,
Justin Senior
Deputy Deputy Secretary for Medicaid
JMS/ac
cc: Denise Ward, Miccosukee Health Department
2727 Mahan Drive * Mail Stop #8
Facebook.corn/AHCAFlorida
Tallahassee, FL 32308 Youtube.corn/AHCAFlorida
AHCA.MyFlorida-com Twitter. com/AHCA.,FL
SlideShare.net/AHCAFlorida
AMENDMENT NO. I
TO
FOR IVIEDICAL BILLING SERVICES FOR FIRE RESCUE
T
I
�11S -A MIE IND l�/E� N,0. j' lk-dtic `Suppierrient") is rnad,- and cnuertci Jn�o thi; 'a�, of Ociobt-2015
Date"", h-, and )Zthv-,n :-i-y of Tamarac, 31 nlunicipa: :o-,-poraticr of rho '-S-iace -�� FiDi-ida "Cir -ina
y
Pcoccssizqz. sl bsidiat�v ofIntorrnedi-T Cor De�a,�,vare corpot-atior f. 'Comracr,
,divanced Data U I - p
W11EREAS, City and Cot-irractor intfo av� Ageameni !.-cr Medical Billing Service3 for Fire Iles-u-r., rf1fec-Livf'-,
-)cl-ooer 016 ftb"A-reernam")-, and
WHEREAS, 'C'i-cy has -c-quested and Conti-actoi agrees _o provid,- consulung services to Citj To P-11rojil it-, the Fiorida
,--'V,-S PO4T (Public Emergency N'ledical fi-anspot) its) M dic-- aid p VIC -,'oggaon, azid provide ongehig consulting costing
sa—vices for both the Florida --'PE (Certified Public Expenditures) PFkff and the propose:) JGT "Intergovernmental
T
-ans fer) PEMT -which includes Medicaid managed care, trans,poifts revenue Drograms, (thc, .;Cons ult!)' F- Services") tot
r En D 'i t h re e ('3) 'yo--irs ftoi-n the Effective Date
VOWTIZEREFORE-, Cify and Contractor agree to amend the Agreement as follows:
I
I I,. Scope Exhibit2 (CPE-ASPP Program Scoof Consulting Services and Revenue Recognition Process) and
-in"iZ Exhibit 2-A "Fees) attached herewith are hereby added to the Agreement,
2, `-'apitalized terms not otherwise defined in this Supplement shall have the meanings ascribed to such terms in
- .he Agreement. All terns and conditions of the Agreement aie I �,=reby ratified and shall remain in full force and effect
:xcept to. 'the extent this Supplement expressly modifies or is inconsistent with the terms and conditions of the
-greenicat, t-, i which case the terms Supplement shall be controlling.
fN ff1j'?yL'SXS of. avz-, .his 61—
t'Fy (.-O,"TRACTOR:
CITY OF TAMARAC ADN' AkNCED DATA PROCESSING, INC.
a SU]3SU[)LkRrY OF hNTERMED.U(
CORPORATION, a DELAWARE
CORPO%NTION
B B y:
Namc: Name:
1AMA Title:
........... Up= -kr�A
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V
PAGE 1
Exhibit 2
Description of Consulting Services and Revenue Recognition Prowess
• DrlaftiiqU�St 76�- resperic�ml� �o re 0,
orovider -'0 %Ipp!" :1 .-i _)arri�:Pa' Mh '\robula�C_ paynl' pl.ogram�
• repqrirll- a FISCF0 im'-pac. srl' -1
cosults oc, ucpamiici&stafle sua-kehol.deLrs 110 dtimollsm�'r8
a C,.o'jHnI �.rjg PI1h1;4tre Frog arn, Medi.,caN Nfaraged ac-
Qavm'�cir ai,-Id uciinsu.--"'! = pL pr(',gi P.m' to th
• fdoififyLitil- eiigiblc -osrs ao-d iF,,velopH",- appropctaw cos-. ailoi_atioi) metho6aiol-les ro, reoort mik'
ccti; for or(I. dhig -- I no z gga C n -'Jilcit I > Cs in 71yfedicaid ai CL as
• Preparing the annual Nledi.caidl _ost 1 �porr for EN S, on behalf
analvsis of 'n-- Dcoivij?r'_- F-Jna�icial and billAila ,iatrl in, orldcr 'c, wcparo and subiliii atnnnual ccGs-
rcperts, t_'L2 m4echaiiisru per s).crriG addidonneveniue ji'id Ar- LKJIIII,C'
Programs.
• Providing comprehensive desk review support, including but rot timited to conducting reviews of aL cost
settlement Files, performing detailed analysis of billing reports generated by Medicaid agencies to ensure that
all -allo,,vabIC chacues and paym-�nts are ciicornpassed in the Calculation of th,- fir -al spttleiTiew, attd dMN
letters and providing suppoftl i, docuirucrttatioii tc meet Ilyledicaid requirements an'-11 expedite spttiemen.
P-,rf6i=.in_c, ariaMis +c ci:iermLn-, %iuble Medicaid .-namiaged care supple-.metloai Day7m-_1,r
methodology.
• Execudi-ig Ntedica-"(I adricrence,
I'D D let!
• y` '6'D2 �.WOth- FIC" OriC '_'are A F and t�-Ly _-o •irt�Orhlol.
or, 4- N/I J j
• Respond to, and represent City on :any AHCA or C IVI S audit, re -view or communication regarding any PENIT
I . 1 6,, -1 -11 7 A , r � e " _e cos' cm'7D? �Pqrec! a ai i d de i 1� erf�d fn A H hal�o tb
PAGE 2
Appendix 2-A
FEES
Q revenus -,:Iz� ,-ronr the Orrifica PRO ExpeadMT (M) mg ,. An Emaymy MMQ-j
R-id Nltd-icaki iota nagod Cm Sqp4mmll Paymns Pm .a: shall in fur -,o City 1"Reve.clue
wNhed as n mmik of the ONO& -Publi.c Expendtrurzs �CTIIE", Se:-Jce, -'EMS) ha!;
detemIL-red, -,he Nil--cicAd won setlemen-, Nlelicaid
nC-nu2s —alizc%j thzough K kledmati Managed Cm, Sqpkmmu�i 'I lul� %-,di bey dtf'ined -hrough an
of le Qyemntim -upoin approva)-, -hr„ sp-ecific sucessf'ulk
Impiamented bv Cont-,act�c)c and C-on-i-cactor 1,vill not eL an`.' orapensam-- Lintil tb,CPE for Ernergenc'Y
MeMal Seri Wes mlement oc klodkiid Managed Cart Supplenamical Paynart revem"m an WAR 0 At A
i:ontnactor wili kn'voicz an. cevenu,= upon The recApr of monu, reNved tn' Q, for ether KAMM naeaning
revenue dms no have To be gmemmd Rm both be ME RY Emmjw? y Medizat Sc--�Was and be Medicaid Managed
Ore Supple.-naenta' Paves nit_ prograrn, ralev invenue Ampt nuds to ba generawd Ar Mar A&KAm to AN, Me
, -.orltractor to uel,,emte confractor YdH mole My based on do; Oral CPE for Eme,mmy MaHmf S-Mess
swulement or ARM MInaged Cue S*pkmental payments within thity (30) days of racelpt of funds by the My.
City vvill, remit paymen, to Co-,intractor within thirty !30) days of invoice receipt. Additional revenues gen,-rated for ffie
uMnsmed patim, populdon. will also be MAY within thirty, (30) days of r"ceipt of revtnius b�be L-ity The
contingency fees to be paid associated w1h the respective successfult impler-nentatior, and generation of in.remcntal
MUM revenues as a madt of Te CPE for Emerggenc,Medical Scrvkes and MedWaid Managed .are Supplemental
Ppmem proVnms ae fiftepri percent 0 5%) of'Citv i evenues,
PAGE 3