DEMSA: (Detroit Emergency Medical Association)
Public & Labor Union
For DEMSA, we worked to identify Federal Grant opportunities, especially with FEMA, to fund vehicle replacement and staffing needs for EMS operations area. Additionally, we proposed to create grant funding via Medicaid and Medicare for EMS operations due to their direct impact on the level of care and cost reimbursements for services provided by hospitals that receive Medicare and Medicaid patients via EMS transportation. We researched and proposed Medicare/Medicaid reimbursement model adjustments for medically underserved communities, of which Detroit would serve as a demonstration model. We have outlined the process steps and have actively lobbying for legislative action and administrative waiver application development to CMS for the Medicaid portion of the EMS grant funding vehicle. We additionally proposed expanding revenue generation policy changes for EMS division operations and expanding service scope of practice for field response.