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EXHIBIT "A" F'idi77�61ZT[ . 1. Background California Welfare & Institutions Code §14105.94 establishes the Ground Emergency Medical Transportation ("GEMT") Services supplemental reimbursement program. The GEMT program permits qualified Providers such as the City of Santa Ana ("CITY") to complete cost reports annually and receive supplemental reimbursement payments after undergoing a Department of Health Care Services audit. Providers can appeal audit adjustments applied to their filed Medi- Cal cost reports pursuant to an administrative appeals process established by the State of California, the rules for which are set forth in Title 22 of the California Code of Regulations, Section 51022 et a/. There is a first level (informal) appeals process handled by a hearing auditor assigned by the State and a second level (formal) appeals process handled by an administrative law judge assigned by the State. Should a satisfactory result not be obtained at either the informal or formal levels of appeal, a Provider has the right to take the matter to State court. 2. Scope of Work Toyon Associates, Inc., ("CONSULTANT") will pursue Medi-Cal cost report appeals and/or re - openings on behalf of CITY. CONSULTANT'S services (which exclude direct litigation services) may include, but are not limited to, the following: 1) Review the audited cost reports and audit work papers to determine the issues to be appealed and/or reopened. 2) Prepare and file appeal letters to the State. 3) Develop appeal strategy, perform research, and obtain documentation needed to pursue disputed issues. 4) Prepare and file amended cost reports if appropriate. 5) Prepare and file position statements and exhibits supporting CITY'S position. 6) Review the State's position statement. 7) Attend settlement conferences and represent the CITY at appeal hearings. 8) Recommend a third -party qualified law firm to assist with the appeal on an as -needed basis, subject to an independent contract between the CITY and recommended law firm (third - party legal fees to be the responsibility of CITY). 9) Perform all follow up needed with the Medi-Cal Program with respect to appeals and reopening requests. 10) Review any revised settlements resulting from appeals or re -openings and any hearing decisions and provide recommendations to CITY. 3. Cost Reporting Periods Covered The cost reporting period covered shall be Medi-Cal Ground Emergency Medical Transportation Supplemental Reimbursement Program cost reporting period FY 2016-2017. 14