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HomeMy WebLinkAbout49-26 Amending Section 9-16 of the South Bend Municipal Code to Establish Rates for Mobile Integrated Health Care Visits1222 S. MICHIGAN STREET SOui'H BEND, INDIANA 46601-2821 July 2026 PHONE 574 / 235-9255 FAX 574 / 235-9305 CITY OF SOUTH BEND JAMES MUELLER, MAYOR SOUTH BEND FIRE DEPARTMENT CARL R BUCHANON FIRE CHIEF Honorable Members of the South Bend Common Council 227 W. Jefferson Boulevard South Bend, IN 46601 Re: Mobile Integrated Healthcare Billing Ordinance Dear Council Members: Filed in Clerk's Office Jul 21, 2026 Bianca Tirado City Clerk, South Bend, IN Attached for your consideration is an ordinance amending Section 9-16 of the South Bend Municipal Code to establish billing rates for Mobile Integrated Healthcare (MIN) services provided by the South Bend Fire Department. In November 2021 the Department received State approval to operate an MIH program, and recent changes to Indiana law authorize reimbursement for eligible Mobile Integrated Healthcare services provided by approved EMS agencies. The proposed ordinance establishes a fee schedule that will allow the City to bill and seek reimbursement for these services while expanding the Department's ability to provide preventative, post -discharge, behavioral health, and other non -emergency healthcare interventions that improve patient outcomes and reduce unnecessary emergency department utilization. This ordinance does not create a new program; rather, it provides the billing framework necessary to support and sustain services already authorized under Indiana law and approved through the State's Mobile Integrated Healthcare program. We respectfully request the Council's support. Please contact me if you have any questions or would like additional information. Sincfirely, Todd Skwarcan Assistant Chief South Bend Fire Department MICHAEL J. DAMIANO DEREK J. ERQUHART TODD L. SKWARCAN ANDREW J. MYER BRANDON S. ROARK ASST. CHIEF OPERATIONS ASST. CHIEF FIRE PREVENTION ASST. CHIEF SERVICES Assn. CHIEF EMS Assr. CHIEF TRAINING BILL NO. 49-26 ORDINANCE NO. Filed in Clerk's Office Jul 21, 2026 Bianca Tirado City Clerk, South Bend, IN AN ORDINANCE OF THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA AMENDING SECTION 9-16 OF THE SOUTH BEND MUNICIPAL CODE TO ESTABLISH RATES FOR MOBILE INTEGRATED HEALTH CARE VISITS STATEMENT OF PURPOSE AND INTENT The Indiana General Assembly established processes pursuant to Indiana Code 16-31-12 et seq. under which Emergency Medical Services ("EMS") providers can seek approval for mobile integrated health programs. The City of South Bend Fire Department obtained approval for its mobile integrated health program on November 16, 2021. Recent changes to Indiana law, specifically amendments to Indiana Code 27-8-6-8, require that a policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are performed or provided as part of a mobile integrated healthcare program, regardless of whether the patient is transported. Indiana Code § 16-18-2-110 defines "emergency medical services" broadly to include care provided by certified EMS personnel within their scope of practice, which encompasses MIH activities when performed under an approved MIH program. In order to provide for billing and subsequent reimbursement for these services, the South Bend Fire Department seeks to amend the South Bend Municipal Code to include billing rates for mobile integrated healthcare services. These amendments are in the best interest of the City and residents of the City of South Bend. NOW, THEREFORE, BE IT ORDAINED BY THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA, AS FOLLOWS: SECTION I. Section 9-16 of the South Bend Municipal Code shall be amended as follows: (b) The following fee schedule establishes the charges for all mobile integrated health services provided and billed by the City through its paramedic branch of the Fire Department: Type of Service Provided Resident Non -Resident (1) Home Visit New Patient — 30 minutes $150 $250 (2) Home Visit New Patient — 60 minutes 250 350 (3) Home Visit Established Patient — 20 minutes 100 150 (4) Home Visit Established Patient — 40 minutes 200 300 (5) Home Visit Established Patient — 60 minutes 250 350 (6) Telehealth Medical Consult 25 75 (c) (d) (e) (f) (g) (h) (i) (1) (k) The above fees shall take effect on September 1, 2019. The fees set forth in subsection (b) shall take effect upon passage. (1) Hereafter, and in the event Medicare or other federal or State health care regulations require or allow an adjustment to ambulance/ medical user fees, the South Bend Fire Chief is authorized to and may amend once annually the user fees set out in subpart (a) and (b) of this Section by the same percentage as the Medicare Fee Schedule rates for such services have been adjusted. This adjustment shall be effective on the calendar date immediately following the date on which written notice of said fee rate adjustment is filed in the office of the City Clerk. At the time such notice is filed, a copy of the new rates shall be made available in paper form for public viewing in the South Bend Central Fire Station, and such new rates shall also be published promptly on the City's web site. SECTION II. This ordinance shall be in full force and effect from and after its passage by the Common Council and approval by the Mayor. Duly passed and adopted on this day of , 2026 by the Common Council of the City of South Bend, Indiana. Canneth J. Lee, Council President South Bend Common Council Attest: Bianca L. Tirado, City Clerk Office of the City Clerk Presented by me, the undersigned Clerk of the City of South Bend, to the Mayor of the City of South Bend, Indiana on the day of , 2026, at o'clock .m. .m. Bianca L. Tirado, City Clerk Office of the City Clerk Approved and signed by me on the day of , 2026, at o'clock James Mueller, Mayor City of South Bend, Indiana BILL NUMBER [BLANK] ORDINANCE NUMBER [BLANK] AN ORDINANCE OF THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA AMENDING SECTION 9-16 OF THE SOUTH BEND MUNICIPAL CODE TO ESTABLISH RATES FOR MOBILE INTEGRATED HEALTH CARE VISITS STATEMENT OF PURPOSE AND INTENT The Indiana General Assembly established processes pursuant to Indiana Code 16-31-12 et seq. under which Emergency Medical Services ("EMS") providers can seek approval for mobile integrated health programs. The City of South Bend Fire Department obtained approval for its mobile integrated health program on November 16, 2021. Recent changes to Indiana law, specifically amendments to Indiana Code 27-8-6-8, require that a policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are performed or provided as part of a mobile integrated healthcare program, regardless of whether the patient is transported. Indiana Code § 16-18-2-110 defines "emergency medical services" broadly to include care provided by certified EMS personnel within their scope of practice, which encompasses MIH activities when performed under an approved MIH program. In order to provide for billing and subsequent reimbursement for these services, the South Bend Fire Department seeks to amend the South Bend Municipal Code to include billing rates for mobile integrated healthcare services. These amendments are in the best interest of the City and residents of the City of South Bend. NOW, THEREFORE, BE IT ORDAINED BY THE COMMON COUNCIL OF THE CITY OF SOUTH BEND, INDIANA, AS FOLLOWS: SECTION I. Section 9-16 of the South Bend Municipal Code shall be amended as follows: (b) The following fee schedule establishes the charges for all mobile integrated health services provided and billed by the City through its paramedic branch of the Fire Department: Type of Service Provided Resident Non -Resident (1) Home Visit New Patient — 30 minutes $150 $250 (2) Home Visit New Patient — 60 minutes 250 350 (3) Home Visit Established Patient — 20 minutes 100 150 (4) Home Visit Established Patient — 40 minutes 200 300 (5) Home Visit Established Patient — 60 minutes 250 350 (6) Telehealth Medical Consult 25 75 (cb) (de) (ed) (fe) (fg) (hg) (ih) (kt) The above fees shall take effect on September 1, 2019. The fees set forth in subsection Lb) shall take effect upon passage. (kl) Hereafter, and in the event Medicare or other federal or State health care regulations require or allow an adjustment to ambulance/ medical user fees, the South Bend Fire Chief is authorized to and may amend once annually the user fees set out in subpart (a) and (b) of this Section by the same percentage as the Medicare Fee Schedule rates for such services have been adjusted. This adjustment shall be effective on the calendar date immediately following the date on which written notice of said fee rate adjustment is filed in the office of the City Clerk. At the time such notice is filed, a copy of the new rates shall be made available in paper form for public viewing in the South Bend Central Fire Station, and such new rates shall also be published promptly on the City's web site. SECTION II. This ordinance shall be in full force and effect from and after its passage by the Common Council and approval by the Mayor. Duly passed and adopted on this [blank] day of [blank] , 2026 by the Common Council of the City of South Bend, Indiana. Canneth Lee, Council President South Bend Common Council Attest: Bianca L. Tirado, City Clerk Office of the City Clerk Presented by me, the undersigned Clerk of the City of South Bend, to the Mayor of the City of South Bend, Indiana on the [blank] day of [blank] , 2026, at [blank] o'clock [blank] . m. Bianca L. Tirado, City Clerk Office of the City Clerk Approved and signed by me on the [blank] day of [blank] , 2026, at [blank] o'clock [blank] .m. James Mueller, Mayor City of South Bend, Indiana