PA ID# 033-99033-00; Escambia County
PW ID# Project Worksheets 861 and 992; Emergency Work-Medical Transports
Citation: FEMA-1551-DR-FL, Escambia County, FL, Emergency WorkMedical Transports
Cross-reference: Emergency Work, Medical Transports
Summary: From September 13-25, 2004, following landfall of Hurricane Ivan (FEMA-1551-DR-FL, 09/16/04), Escambia County (Applicant) dispatched ambulance crews staffed with Emergency Medical Technicians and paramedics to perform a variety of duties, including transporting citizens from homes to hospitals and other special needs shelters, and reporting on road conditions and potential law enforcement issues. The County requested $236,156.40 in reimbursement of personnel overtime and equipment costs associated with the deployment of these ambulance crews. FEMA prepared Project Worksheets (PWs) 861 and 992 for these costs, but did not approve funding as they were considered to cover ineligible work and costs associated with standby time, damage assessments, and costs typically covered by patient insurance. The Applicant submitted its first appeal on June 8, 2005. FEMA denied this appeal stating that the work performed did not meet the provisions of Section 403 of the Stafford Act. The Applicant submitted a second appeal on March 23, 2006, and provided detailed information identifying the duration of the transports to hospitals and congregate shelters that were not covered by insurance. Based on the additional information provided, it was determined that personnel overtime and equipment costs in the amount of $31,680.45 ($29,113.25 Federal share) were eligible for reimbursement. These costs represent the eligible costs associated with the citizen transports to hospitals and congregate shelters not covered by insurance proceeds. Issues: 1. Has the Applicant demonstrated that some costs incurred are eligible for reimbursement under 44 CFR § 206.225?
2. Are the costs for standby time, reporting field conditions, and preparing
ambulances eligible for reimbursement?
Rationale: Recovery Policies RP9525.4, Emergency Medical Care and Evacuations, and RP9525.7, Labor Costs Emergency Work, 44 CFR § 206.225