Miramar Considers Medicaid PEMT Supplemental Payment Agreement | Miramar Commission

COMMUNITY IMPACT

If approved, this agreement could bring additional federal Medicaid dollars into Miramar to offset costs of medical or emergency transport services provided to low-income residents. Residents who rely on Medicaid-covered transportation services may see improved or sustained service levels. The agreement does not typically raise taxes or change services directly visible to most residents.

PROFESSIONAL ANALYSIS

PEMT (Public Entity Medical Transportation) supplemental payment programs allow local governments operating emergency medical or non-emergency medical transport services to access upper-payment-limit Medicaid funding through a state-federal cost-sharing mechanism. Approval of this agreement would position Miramar to submit cost reports to the Florida Agency for Health Care Administration (AHCA), potentially recovering significant supplemental Medicaid reimbursements above standard Medicaid rates. Legal counsel and finance teams should review the intergovernmental transfer (IGT) requirements, audit obligations, and any matching fund commitments embedded in the agreement. Healthcare consultants and EMS administrators commonly advise that these programs can yield six- to seven-figure annual recoveries for mid-size municipalities with active EMS operations. This item is pending first vote as of the September 17, 2025 meeting. The Signal: Finance and EMS leadership should confirm the agreement's IGT contribution requirements and projected net revenue recovery before the commission vote.