Commissioners Court - Regular Session

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16.

Meeting Date:	04/05/2011
Submitted For:	Kenny Schnell	Submitted By:	Kenny Schnell, EMS
Department:	EMS

Information

Agenda Item

Consider approving termination of Agreement dated effective 08-01-1997 between Williamson County EMS and Scott & White Health Plan regarding ambulance services.

Background

Seeking Court approval to terminate an agreement between Scott and White Health Plan and the Williamson County EMS. The initial agreement was entered into in 1997 with the intent to manage the cost of physician referrals from S/W clinics to area hospitals when the patient required EMS services. The agreement is out dated, has no provision to make adjustments in rates, and lacks clarity. Currently the billing services for EMS does not have clear understanding on accepting payment based on current base rates, loaded transport mileage, and weather the patient is responsible for co-insurance and deductibles. Below is a bullet list of overall issues with agreement.

• There is no clause for negotiation of base rates and mileage
• Currently, as stated the contract is 70% below reasonable and customary charges for both base rate and mileage.
• Current agreement has response time variables that are no longer justifiable.
• Initial intent of agreement was to pay for elective referrals initiated primarily through one of the Scott and White Clinics in Round Rock and Georgetown.

On termination of the contract, EMS’ standard billing and mileage rates currently in-effect will be charged.

Fiscal Impact

From/To	Acct No.	Description	Amount

Attachments
No file(s) attached.

Form Review

Inbox	Reviewed By	Date
County Judge Exec Asst.	Wendy Coco	03/23/2011 09:10 AM
Form Started By: kschnell		Started On: 03/21/2011 10:37 AM
Final Approval Date: 03/23/2011