Interoffice Memorandum
DATE: September 5, 2025
TO: Mayor Jerry L. Demings and County Commissioners
THROUGH: Daniel P. Banks, Deputy County Administrator
FROM: Alex Morales, Finance Manager
CONTACT: Alex Morales, Finance Manager
PHONE: 407-836-9015
DIVISION: Fiscal and Operational Support Division
ACTION REQUESTED:
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Approval and execution of Public Emergency Medical Transportation Letter of Agreement by and between Orange County and the State of Florida, Agency for Healthcare Administration in an amount not to exceed $5,262,751.13 and authorization for the County Administrator to sign future Public Emergency Medical Transportation Letters of Agreement by and between Orange County and the State of Florida, Agency for Healthcare Administration in an amount not to exceed $15,000,000. (Fiscal and Operational Support Division)
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PROJECT: Public Emergency Medical Transportation Letter of Agreement
PURPOSE: Senate Bill 2500, the General Appropriations Act of State Fiscal Year 2025-2026, passed by the 2025 Florida Legislature, provides the provision to grant an agreement between the State of Florida Agency for Health Care Administration (AHCA), and Orange County on behalf of Orange County Fire Rescue. This is the seventh consecutive year Orange County Fire Rescue has taken part in this voluntary program, and it is our desire to continue to participate. The agreement acknowledges remittance payment through an Intergovernmental Transfer from Orange County to AHCA in an amount not to exceed $5,262,751.13 as part of a Medicaid Managed Care Supplemental Payment Program. To participate in the program, Orange County must return the signed Public Emergency Medical Transportation Letter of Agreement to ACHA.
BUDGET: N/A