CO Emergency Medical Services (EMS) Supplemental Payment Fiscal Year (FY) 2018-19 Bi-Yearly Stakeholder Meeting October 15, 2019
Introductions – Department The Colorado Department of Health Care Policy and Financing (Department) will administer the CO EMS Supplemental Payment, communicating with the Centers for Medicare and Medicaid Services (CMS) to disburse supplemental payments to public Providers who successfully complete the annual cost report. • Shannon Huska • Josh English • Daniel Harper www.publicconsultinggroup.com 2
Introductions – PCG Public Consulting Group (PCG) is the third party assisting public Providers with CO EMS Supplemental Payment activities on behalf of the Department. • James Dachos • Garrett Abrahamson • Maggie Dunham • Miles Brown • McKenzie Ratcliff • Damia Mendoza www.publicconsultinggroup.com 3
Agenda Introductions First Year Success Program Requirements Cost Reporting Resources Fiscal Year (FY) 2018-19 Timeline FY 2018-19 Training Survey Results Outreach Efforts Frequently Asked Questions (FAQ) Submitted Discussion Topics Contacts www.publicconsultinggroup.com www.publicconsultinggroup.com 4
First Successful Year of the CO EMS Supplemental Payment 300+ calls received & 43 Providers completed the $13 Million in 520+ emails issued FY 2017-18 Cost Reports supplemental payment on the Help Desk funding www.publicconsultinggroup.com 5
How to Obtain a Supplemental Payment for FY 2018-19 1. Bill Health First Colorado throughout the year. 2. Receive Health First Colorado Fee-For-Service (FFS) Interim Payments throughout the fiscal year. 3. Fill out the Intent of Participation form. 4. Complete cost report for expenses incurred between July 1, 2018 to June 30, 2019. 5. Complete the Desk Review. 6. Undergo the Comprehensive Audit Review, if selected. 7. Complete the Cost Report Certification form. 8. Receive supplemental reimbursement through the cost settlement process. www.publicconsultinggroup.com 6
Resources to Complete the Cost Report The following documents are available on the Ambulance Services Cost Report (ASCR) portal: • FY 2018-19 ASCR User Guide. • FY 2018-19 Frequently Asked Questions Guide. • FY 2018-19 Recorded Trainings. www.publicconsultinggroup.com 7
FY 2018-19 Timeline February to March 2020 September 2020 July 2020 September 2019 • All Providers undergo • Supplemental • • Cost Reporting FFS Medicaid Trips payments dispersed Desk Reviews and Revenue Regional Trainings Populated November 2019 March to April 2020 August 2020 • Cost Reports Due on • Selected Providers • Final signed Cost the 27th undergo Comprehensive Report Certification • Electronic Cost Report Audit Reviews form collection Certification www.publicconsultinggroup.com 8
Training Accessibility The map below includes all Providers who submitted an Intent of Participation form for both FY 2017-18 and FY 2018-19. www.publicconsultinggroup.com 9
FY 2018-19 Training Registrations A total of 67 representatives from 46 Providers registered for the CO EMS Supplemental Payment FY 2018-19 trainings held in September 2019. • Pueblo: 12 • Denver: 21 • Durango: 5 • Eagle: 11 • Loveland: 8 www.publicconsultinggroup.com 10
FY 2018-19 Training Survey Results Quality How would you rate the training session overall? n=54 50% 44% 44% 40% 30% 20% 11% 10% 0% 0% Excellent Very Good Good Bad www.publicconsultinggroup.com 11
FY 2018-19 Training Survey Results Duration Did the training session length seem appropriate? n=54 100% 100% 80% 60% 40% 20% 0% 0% 0% About Right Too Shot Too Long www.publicconsultinggroup.com 12
FY 2018-19 Training Survey Results Attendance Were the correct person to attend this training? n=54 100% 89% 80% 60% 40% 20% 11% 0% 0% Yes Maybe No www.publicconsultinggroup.com 13
FY 2018-19 Training Survey Results Comments - Most Valuable Portions Highlighted Responses to Question “What portions of the training did you find most valuable?” • The activity as it helped me realize how difficult your job is • Questions getting answered • Clarifying some of the expense items • Discussions of unallowable costs • Explanation/breakdown of steps in cost report process • New to the program, so overview and intro • The audit activity and the sheets (handouts) were very helpful • The walkthrough of the mock audit was very helpful • Everything, love the help to get everything together • I learned from the handout tables. The end, going over what was out of place in the cost report • Explanations: audit examples www.publicconsultinggroup.com 14
FY 2018-19 Training Survey Results Comments - Additional Subjects Coverage Highlighted Responses to Question “Is there a subject that you would have liked us to cover? If so, what is the subject?” • Specific trainings for rural agencies • The content was very appropriate. Maybe a section on what errors you all saw that were common/consistent so we can learn from that • Will there ever be an expansion to cover costs for treated Medicaid patients but not transported? • Seems like pertinent topics relevant to the cost reporting were adequately covered • A list of non-allowable expenses • The only thing I am still slightly concerned about is the CAD data versus billing data, and any potential pitfalls there? www.publicconsultinggroup.com 15
Outreach Efforts - Conferences PCG and the Department will be attending the two upcoming conferences below to promote the CO EMS Supplemental Payment. Please stop by our booth! • Fire Leadership Challenge – October 22-15 in Keystone, Colorado • Colorado EMS Conference – November 7-10 in Keystone, Colorado www.publicconsultinggroup.com 16
Outreach Efforts – What Stakeholders Can Do Help spread the word about the opportunity to receive additional Medicaid funding via the CO EMS Supplemental Payment! • Tell your neighbor Providers about the CO EMS Supplemental Payment. • Share your experience in the CO EMS Supplemental Payment with other Providers. • Invite Providers to visit our conference booths. • Encourage Providers to call our Help Desk and learn about the CO EMS Supplemental Payment. The current interest for the FY 2018-19 CO EMS Supplemental Payment status is: 52 Intent of Participation Forms Submitted | 39 Returning Providers | 13 New Providers www.publicconsultinggroup.com 17
FAQ – Private Providers Will private Providers be able to participate in the CO EMS Supplemental Payment? Private Providers would only be able to participate if there is an amendment to the current State Plan Amendment (SPA). The risk associated with opening the SPA is that anything on it could change, affecting how the program is currently running. Given that this program is new, opening the SPA will not happen in the foreseeable future. www.publicconsultinggroup.com 18
FAQ – Treat No Transport (TNT) Can Providers include “dry runs” (TNT) or incidents in which they go to the scene and do not transport? No, the CO EMS Supplemental Payment only provides reimbursement for emergency medical transports. www.publicconsultinggroup.com 19
FAQ – Miscellaneous • Who is eligible to participate in the CO EMS Supplemental Payment program? o Public EMS Providers are eligible to participate. • Is there a master list of participating Providers and their final settlement for reference? o There is not yet, but as the CO EMS Supplemental Payment grows, this information will become publicly available. • Is there a cap for the funding Providers receive via the CO EMS Supplemental Payment? o No. The CO EMS Supplemental Payment works as a Certified Public Expenditure (CPE) program. Providers will always be reimbursed for actual costs incurred, as reported. • How long will the program last? o At this time there is no anticipated end date. If State regulations are to change, would be the only possible reason. www.publicconsultinggroup.com 20
FAQ - Miscellaneous Cont. • When are the FY 2018-19 payments made? o At the end of September of 2020. • Is there a chance for a federal audit? o Yes, CMS could audit the CO EMS Supplemental Payment at any time. • Is it fair to estimate that supplemental payments will double for FY 2018-19? o Payments vary Provider by Provider. It is recommended to wait until August 2020 to announce or plan for the supplemental payment. • Do Providers need to report their supplemental payment on Schedule of Expenditures of Federal Awards (SEFA)? o Yes. www.publicconsultinggroup.com 21
Submitted Discussion Topics • Data from the Supplemental Payment program – will this data be used at the state level to assess and make decisions regarding emergency medical services in Colorado? Will the data be made available to all participating agencies? I believe there is valuable objective information in the data that is submitted through this process that would be valuable at the state and local levels for strategic planning, agency comparison and decision making. • Others? www.publicconsultinggroup.com 22
Daniel Harper Financial Analyst Colorado Department of Health Care Policy and Financing P 303.866.5474 I State Relay: 711 daniel.harper@state.co.us CO EMS Supplemental Payment Help Desk Cost Reporting Support Team 877-775-3867 COEMSsupplemental@pcgus.com www.publicconsultinggroup.com 23
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