25B - AMBULANCE & PARAMEDIC COLLECTIONS SERVICES

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Award Agreement to Wittman Enterprises, LLC for Ambulance and Paramedic Billing & Collection Services December 17, 2019 Page 5 In order to implement the optional Paramedic Subscription Program through Wittman, the Centers for Medicare & Medicaid Services (CMS) require that a client jurisdiction such as Santa Ana maintain a certain paramedic subscription fee threshold to meet Medicare Part B cost -sharing guidelines. This would require the City to increase its proposed 2019-20 fiscal year subscription fee from $60.08 to $87.50 ($75.00 CMS threshold fee, plus $12.50 per membership handling charge). Participation in the optional City Paramedic Subscription proposal is elective on the part of the City and can be exercised by the City Manager or his/her designee for the first agreement year, one - hundred -twenty (120) days prior to July 1, 2020, and thereafter one -hundred -twenty (120) days prior to January 1 st for any subsequent agreement year. Any increases to the Subscription Program Fee will be brought to the City Council for consideration during the FY 2020-21 budget process. Based on the evaluations and ratings of RFP No. 19-083 for ambulance and paramedic/medical billing and collection services, staff recommends executing an agreement with Wittman for three (3) years, effective January 1, 2020 through December 31, 2022 including two optional one-year (1) extension periods. Additionally, staff recommends retaining the option, at the election of the City, to transfer the administration of the City's Paramedic Subscription Program to the consultant. STRATEGIC PLAN ALIGNMENT Approval of this item assists the City in meeting Goal #7 — Team Santa Ana, Objective #5 (Create a culture of innovation and efficiency within the organization, Strategy F (Explore opportunities to engage with outside agencies, both private and public, to share information and increase efficiencies). FISCAL IMPACT Payment for services is contingent upon successful collection; Wittman will share in the total revenue recovered from their billing/collection efforts and paid from the Fire Suppression/EMS Contract Services Professional account (no. 01115330-62300). Revenues generated as a result of this agreement will be as follows: • Paramedic Subscription Fee (Ambulance Transport) — 01115002 — 53509 • Paramedic Services Charge (Paramedic Subscription Program) — 01115002 — 53510 APPROVED AS TO FUNDS AND ACCOUNTS: Kathryn Downs, CPA Executive Director Finance and Management Services Agency Exhibits: 1. Agreement 2. RFP No. 19-083 AG:WH 25B-5