11/14/2016 BOARD OF SELECTMEN Minutes

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12 Board of Selectmen Minutes November 14, 2016 NEW BUSINESS Discussion&nd a roval of ambulance fees: (continued) The service includes EMT&Paramedic certification, State License fees,the cost of disposables to include medications and the cost of maintenance,repair or replacement of equipment. It was noted that Medicaid and Medicare mandates represent an adjustment to the fee schedule. Medicaid rates are paid in full,Medicare patients are not required to pay the fee balance. With adjustments, new rates would bring forth an estimated$100,000 to $150,000 in additional revenue per year. It is recommended the fee schedule be reviewed on a 5-year cycle in conjunction with a needs assessment to enswre competitive rates. The Town of Falmouth is currently reviewing their fee structure and has proposed a fee schedule as follows, BLS Emergency $1,300.98 ALS 1 Emergency $1,871.75 ALS 2 Emergency $2,676.26 Mileage$34.00 per mile Motion made by Selectman Cotton to approve the new fee structure for Ambulance Transports as proposed. Motion seconded by Selectman Cahalane. VOM: Unanimous. 5-4. Roll Call Vote: Selectman Gottlieb,yes Selectman Cahalane,yes Selectman O'Hara,yes Selectman Cotton,yes Selectman Sherman,yes Opposed,none Discussion followed with respect to the fee stricture and maintaining competitive rates. It was suggested an annual escalator be considered for the Ambulance Transport services to co-inside with departmental fees associated to the operation of the Fire Department. Upon review it was agreed the matter would be revisited on an annual basis. Motion made by Selectman Cahalane to annually,(on or about July 1)address the Ambulance Transport Fee Structure. Motion seconded by Selectman O'Hara. VOTE: Unanimous. 5-0. Roll Call Vote: Selectman Gottlieb,yes Selectman Cahalane,yes Selectman O'Hara,yes Selectman Cotton,yes Selectman Sherman,yes Opposed, none