2016-118 2016-118
Resolution Authorizing And Establishing A Procedure For Payment To Mobile Life Support Services,
Inc
At a Regular Meeting of the Town Board of the Town of Wappinger, Dutchess County, New York, held
at Town Hall, 20 Middlebush Road, Wappingers Falls, New York, on March 28, 2016.
The meeting was called to order by Lori A. Jiava, Town Supervisor, and upon roll being called, the
following was recorded:
✓Vote Record-Resolution RES-2016-118
Q Adopted Yes/Aye No/Nay Abstain Absent
❑ Adopted as Amended Lori A.Jiava Voter Q ❑ ❑ ❑
❑ Defeated William H.Beale Voter Q ❑ ❑ ❑
❑ Tabled William Ciccarelli Seconder Q ❑ ❑ ❑
❑ Withdrawn John J.Fenton Voter Q ❑ ❑ ❑
Michael Kuzmicz Mover Q ❑ ❑ ❑
The following Resolution was introduced by Councilman Kuzmicz and seconded by Councilman
Ciccarelli.
WHEREAS, the Town of Wappinger acting on behalf of the Wappinger Ambulance District, entered
into an Ambulance Service Agreement with TC Hudson Valley, Inc. d/b/a Transcare ("TCHVI") dated the 25th
day of July 2005 (the "Agreement") in which TCHVI was to provide general ambulance services for the
purpose of transporting all sick or injured persons found within the boundaries of the Wappinger Ambulance
District (the "District); and
WHEREAS, TCHVI has ceased providing any ambulance services to the Town of Wappinger (the
"Town") under the Agreement and has removed its ambulances from the Town; and
WHEREAS, the Agreement with TCHVI provided that TCHVI would accept as full payment for any
services rendered to District residents the amounts paid by the sick or injured's medical insurance carrier; and
WHEREAS, on February 26, 2016 Mobile Life Support Services, Inc., ("Mobile Life") and the Town
entered into a "Contingency Plan", as negotiated by Dutchess County 911, to provide general ambulance
services for the purpose of transporting all sick or injured persons found within the District until the Town
enters in to a permanent contract with a new ambulance service provider; and
WHEREAS, Mobile Life agreed to bill non-residents of the District under their normal billing
procedures which corresponded to TCHVI's past billing procedures under the Agreement; and
WHEREAS, Mobile Life agreed to bill District residents under "insurance only"billing by which
Mobile Life would send invoices only to the District residents' insurance companies for services provided and
would not send any invoices to under-insured or uninsured residents within the District for the amounts not paid
by the insurance provider; and
WHEREAS, Mobile Life agreed to refrain from issuing any bills for the difference between the
amounts paid by insurance and the actual invoice for services provided until a procedure for such billing has
been put in place to cover these expenses; and
WHEREAS, to remain in compliance with the Anti-Kick Back Statute, 42 USC 1320a-7b, both the
Town and Mobile Life have agreed to a billing procedure for payment of the fees representing the amounts not
paid by the insurance provider for such services rendered to under insured and uninsured District residents.
NOW, THEREFORE, BE IT RESOLVED, as follows:
1. The recitations above set forth are incorporated in this Resolution as if fully set forth and adopted herein.
2. The Town of Wappinger acting on behalf of the Wappinger Ambulance District hereby agrees to pay
Mobile Life the amounts not covered by insurance providers for the services rendered by Mobile Life to under-
insured and uninsured District residents.
3. The Town will assist in any manner to assist Mobile Life in providing verification of resident status.
4. Mobile Life agrees to submit all necessary documentation to the Town evidencing the services provided
to all District residents, and indicating the difference, if any, between the amounts paid by insurance and the
actual invoices for service. The documents shall, at a minimum, include: the number of calls to all District
residents, including insured, under-insured or uninsured; the invoices for each call; the explanation of benefits
indicating amounts paid by insurance companies; and the invoices for the difference in the amounts due for
each call.
5. Mobile Life agrees to provide the above documentation to the Town Supervisor on a monthly basis until
such time that the Contingency Plan is replaced with a permanent contract. The documentation will be audited
by the Town Supervisor in consultation with the Town Accountant.
6. All documentation will be released in accordance with the provisions of the Health Insurance Portability
and Accountability Act (HIPAA).
7. Upon receipt of the necessary documentation The Town of Wappinger through the Wappinger
Ambulance District will issue payment to Mobile Life for said services within thirty (30) days.
This Resolution shall take effect immediately.
The foregoing was put to a vote which resulted as follows:
RESULT: ADOPTED [UNANIMOUS]
MOVER: Michael Kuzmicz, Councilman
SECONDER: William Ciccarelli, Councilman
AYES: Jiava, Beale, Ciccarelli, Fenton, Kuzmicz
Dated: Wappingers Falls, New York
3/28/2016
The Resolution is hereby duly declared Adopted.
JOSS P P. PAOLONI, TOWN CLERK