File #: 21-0721    Name: Molina Healthcare
Type: Ordinance Status: Consent Item
In control: City Council Regular Meeting
On agenda: 8/17/2021 Final action:
Title: Consider/Discuss/Act on an Ordinance to Establish a Schedule of Fees for Payment for Services at the Request of a Health Care Provider or Insurer Pursuant to the City Fire Department for the Administrative and Logistics Cost of the Community Healthcare Program.
Attachments: 1. Ordinance, 2. Molina Health Care Fee Schedule, 3. CHP Chapter 18 (redline)

Title

Consider/Discuss/Act on an Ordinance to Establish a Schedule of Fees for Payment for Services at the Request of a Health Care Provider or Insurer Pursuant to the City Fire Department for the Administrative and Logistics Cost of the Community Healthcare Program.

Summary

 

COUNCIL GOAL:                     Enhance the Quality of Life in McKinney

 

MEETING DATE:                     August 17, 2021

 

DEPARTMENT:                      Fire

 

CONTACT:                                           Danny Kistner, Fire Chief

                                          

RECOMMENDED CITY COUNCIL ACTION:

                     Approval of proposed ordinance amendment.

 

ITEM SUMMARY:

                     McKinney Fire Department operates a proactive community healthcare program.

                     Currently, the community healthcare program is provided as a service for McKinney citizens. This program functions in a non-emergent capacity.

                     A fee for service ordinance exists for emergency medical response but not for non-emergency.

                     This ordinance amendment provides a fee schedule for payment by health care providers or insurers to the City of McKinney for CHP services.

 

BACKGROUND INFORMATION:

                     McKinney Fire Department established a novel community healthcare program in 2013 to reduce the need for those with chronic medical conditions from overreliance on the emergency medical service system.

                     Since inception, the MFD CHP program is successful in impacting the health and welfare of those with certain chronic medical conditions.

                     Health care providers or insurers are interested in engaging the MFD CHP for certain patient subscribers.

                     Molina Healthcare contacted the MFD CHP program with a proposal to engage our services in a consistent manner to services already provided.

                     Molina Healthcare proposed payment to the City of McKinney for services consistent with the CHP program.

                     A pilot program to include a cohort of 25 Molina subscribers was proposed by Molina Healthcare.

                     This ordinance amendment provides for a fee schedule for payment by health care providers or insurers to the City of McKinney for CHP services.

 

FINANCIAL SUMMARY:  The fee schedule for MFD CHP services will be according to the following schedule:

 

Home Safety Evaluation -                      $150

Enrolled Patient Monthly Care -                      $500

Post Hospital Discharge Visit -                      $200

 

BOARD OR COMMISSION RECOMMENDATION:

                     N/A