Legislation Details

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