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Hello,

My county auditor and I are interested in seeing how many county EMS

services apply their uninsured county resident's EMS bills towards their

indigent

program's 8% match.

If there are other EMS / Ambulance companies out there that do this, please

contact me.

You may contact me off the list.

Thank you in advance.

Peggy Fonseca, EMT-P, CCEMT-P, FP-C

Goliad County EMS Administrator

P.O. Box 938

Goliad, Tx 77963

(fax)

CONFIDENTIAL & PRIVILEGED

Unless otherwise indicated or obvious from the nature of the following

communication, the information contained herein is privileged and confidential

information/work product. The communication is intended for the use of the

individual or entity named above.

If the reader of this transmission is not the intended recipient, you are

hereby notified that any dissemination, distribution or copying of this

communication is strictly prohibited. If you have received this communication in

error or are not sure whether it is privileged, please immediately notify us by

return e-mail and destroy any copies, electronic, paper or otherwise, which

you may have of this communication.

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EMS is an optional service under Chapter 61 of the Health and Safety

Code. Assuming the County accepted EMS as an optional service and paid

at the deplorably low Medicaid rates, it could be covered under the 8%

mandate.

I would be concerned about doing that unless the uninsured person was a

covered life in your indigent program. I don't believe that you could

cover non-member unpaid bills in the 8%. That being said, I would make

every effort to bring this person onto the program so that I could

include the expense in the 8% mandate. The complication to this would

be that the County Indigent program would then have to pick up the cost

for the mandated and optional services.

The county should explore including the un-reimbursed costs in the

county's submission for the Texas Tobacco Settlement (Hospital District

and County Indigent funding - unrelated to EMS tobacco money through the

RAC's).

Feel free to call me () or Curry () for

more County Indigent questions.

*******************************************

, MPA, LP

Interim Chief Administrative Officer

EMS Director

Montgomery County Hospital District

________________________________

From: [mailto: ] On

Behalf Of PFONS10503@...

Sent: Thursday, July 07, 2005 10:24 AM

To:

Subject: County Services

Hello,

My county auditor and I are interested in seeing how many county EMS

services apply their uninsured county resident's EMS bills towards their

indigent

program's 8% match.

If there are other EMS / Ambulance companies out there that do this,

please

contact me.

You may contact me off the list.

Thank you in advance.

Peggy Fonseca, EMT-P, CCEMT-P, FP-C

Goliad County EMS Administrator

P.O. Box 938

Goliad, Tx 77963

(fax)

CONFIDENTIAL & PRIVILEGED

Unless otherwise indicated or obvious from the nature of the following

communication, the information contained herein is privileged and

confidential

information/work product. The communication is intended for the use of

the

individual or entity named above.

If the reader of this transmission is not the intended recipient, you

are

hereby notified that any dissemination, distribution or copying of this

communication is strictly prohibited. If you have received this

communication in

error or are not sure whether it is privileged, please immediately

notify us by

return e-mail and destroy any copies, electronic, paper or otherwise,

which

you may have of this communication.

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