Agenda

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City Council Regular Meeting

Meeting Date:

05/26/2020

BACKGROUND

On August 27, 2019, City Council approved the Schertz EMS Charity Care Policy. Approving the Charity Care Policy benefits our citizens who do not have insurance and do not have the ability to pay for ambulance services. In the past, these accounts were sent to collections and written off throughout the year with little expectation to recover any revenue.

GOAL

The City has been participating in the Texas Ambulance Services Supplemental Payment Program (TASPP) since 2015. This program reimbursed the City for losses incurred when providing services to patients who have Medicaid and the uninsured. Beginning on October 1, 2019, this program moved away from reimbursing uninsured and Medicaid patients and is only reimbursing based on charity care.

The City will apply for reimbursement for a portion charity care write-offs in FY 20 beginning in FY 21.

COMMUNITY BENEFIT

Our charity care policy benefits those who cannot afford ambulance services and having a Charity Care Policy allows the City to apply for reimbursement for a portion of those funds that are written off.

SUMMARY OF RECOMMENDED ACTION

N/A

FISCAL IMPACT

119 accounts for a total of $143,539.00 will be written off based on the EMS Charity Care Policy. It is estimated that EMS will be eligible for reimbursements up to $100,000 in FY21 for all the predicted accounts written off.

Call Originated In	Total Amount
Schertz (57 accounts)	$64,487
San Antonio (1 accounts)	$1,738
Cibolo (13 accounts)	$17,016
Universal City (20 accounts)	$27,432
New Braunfels (4 accounts)	$6,098
Live Oak (11 accounts)	$12,406
Converse (1 accounts)	$1,266
Marion (2 accounts)	$3,684
Selma (6 accounts)	$6,072
UCC/Garden Ridge (4 accounts)	$3,340
	$143,539

RECOMMENDATION

Staff recommends City Council approve Resolution 20-R-49

Attachments
Resolution 20-R-49
Schertz EMS Billing Policy