Board of Trustees - Committee of the Whole

VILLAGE OF VILLA PARK Village Hall, Board Chambers 20 South Ardmore Avenue Villa Park, IL 60181 Village Board of Trustees - Committee of the Whole February 9, 2026 6:00 PM Village President Kevin Patrick Village Clerk Rolf Laukant Village Trustees Cari Alfano, Jorge Cordova, Tina Konstatos, Jack Kozar, Deepa Kumar, Khalid Sabri Public participation is invited. When called upon, please approach the microphone and state your name. Kindly limit your remarks to 3 minutes. 1. Call to Order - Roll Call 2. Pledge of Allegiance 3. Discussion a. GEMT and Ambulance Billing b. PW-Parks to go over status of projects c. CED and Engineering - Project Map 4. Public Comments 5. Adjournment Page 1 of 15 Ambulance Billing 101 Villa Park Fire Department February 9, 2026 Page 2 of 15 History of Rates • Set by ordinance as a static number • No actual cost analysis • What are our neighbors charging? Lombard - $600 Addison- $800 Oakbrook Terrace - $400 So, Villa Park will charge - $550 Page 3 of 15 Current Rates • Set by ordinance in 2022 • Based on GEMT Cost Report rate • Residents – 50% • Non-residents – 75% • Automatic annual increases based on Cost Report Page 4 of 15 What is GEMT? • Ground Emergency Medical Transport (GEMT) • Federally funded Medicaid program in existence for many years • Over 36 states participate in GEMT • Each state designs their own program • Introduced to Illinois via legislation in 2019, Villa Park joined in 2021 • Administered by IL Department of Healthcare and Family Services (HFS) • Provides additional reimbursement above the Medicaid base rate Page 5 of 15 GEMT Cost Reporting • Annually submit a Cost Report based on the previous complete fiscal year • Salary and benefits • Supplies, fuel, parts, and equipment • Repair costs and labor • Contractual service • Building and vehicle • Uses a ratio of transport versus non-transport costs Page 6 of 15 GEMT Rate • The Cost Report is reviewed, and the state determines the final rate • The GEMT program requires providers to charge the full final rate • The state expects 50% of the final rate to be paid back • Providers repaying less than 50% of the final rate will be held liable for the difference, and can be excluded from the program • Providers cannot charge different rates based on residency Page 7 of 15 Medicaid MEDICAID BILLING EXAMPLE AMOUNT TOTAL TRANSPORT COST/GEMT RATE $3,555 IL BASE RATE RECEIVED $555 GEMT AMOUNT PAID $3,000 TOTAL PAID $3,555 50% OF GEMT AMOUNT PAID BACK TO IL $1,500 NET REVENUE WITH GEMT PROGRAM $2,055 Page 8 of 15 Commercial • No rate negotiation • Amount paid varies by insurance provider • Co-pays, co-insurance, and deductibles still apply • Starting in 2027, marketplace commercial insurance plans will be required to pay a rate of 85% of the ordinance rate Page 9 of 15 Other Payors • Medicare • Changes annually • Rate is based on region/county • Private Pay • No insurance Page 10 of 15 2026 Rate Structure CURRENT PROPOSED 2026 RATES RES 50%/NON-RES 75% RES/NON-RES 100% RESIDENT RATE $1,777.50 $3,555.00 NON-RESIDENT RATE $2,666.25 $3,555.00 Page 11 of 15 Proposed Rate Comparison Department Resident Rate Non-Resident Rate Lombard $2,672.39 $2,969.32 Oakbrook Terrace $2,909.80 $2,909.80 Addison $3,264.00 $3,264.00 Elmhurst $3,486.60 $3,873.98 Villa Park $3,555.00 $3,555.00 York Center $3,734.00 $3,734.00 Wood Dale $5,116.05 $5,776.13 Itasca $5,390.00 $5,390.00 Page 12 of 15 2025 Payor Mix Page 13 of 15  2026 Projected Revenue 2025 EMS CURRENT RATE STRUCTURE PROPOSED RATE STRUCTURE REVENUE PAYOR TYPE TRANSPORTS RES 50%/NON-RES 75% RES/NON-RES 100% INCREASE MEDICAID 456 $1,472,827.68 $1,472,827.68 $0.00* COMMERCIAL 343 $447,260.58 $715,447.02 $268,186.44 MEDICARE 730 $319,535.24 $327,716.94 $8,181.70 PRIVATE 146 $11,625.86 $15,696.23 $4,070.37 TOTAL 1,675 $2,251,249.36 $2,531,687.87 $280,438.51 Using 2025 EMS transports and payor types, an estimated annual revenue increase of over $280,000 is projected. *Currently billing at 50%/75% of the GEMT rate but being reimbursed at the full GEMT rate. Page 14 of 15 THANK YOU! • Questions? Page 15 of 15