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General News: Town Board Tables Covac Transition Plan

Photo by Jim Lennon. Town Board Tables Covac Transition Plan.
Photo by Jim Lennon. Town Board Tables Covac Transition Plan.
January 16, 2013

By Jim Lennon

On Monday night January 14th, at a regular meeting, the Cornwall Town Board "tabled" the Cornwall Volunteer Ambulance Corps Proposal that would permit COVAC to start billing patients for medical transportation and services.

The Board postponed action on the agenda item to enable the Town Board, Town Attorney, COVAC and Cornwall residents time to discuss and evaluate a proposal presented to the Town Board at the meeting by Former Town Supervisor Richard Randazzo which he titled "Framework of Ten Step Plan for COVAC Transition to Independent Operations", which was presented to both the Town Board and COVAC at the meeting.

Mr. Randazzo's plan proposes that the Town and COVAC enter into a three year Agreement, effective February 1, 2013, that outlines a gradual transition.

Mr. Randazzo's "10 Step Plan" is quoted in full below:

1. An agreement entered into for a three year period, effective 2/1/13. As part of the agreement COVAC will operate as they presently do utilizing town facilities, equipment, medical supplies, etc. during the first year (1/1/14).
2. COVAC will provide the trained personnel for ambulance services.
3. Billing by COVAC will start 2/1/13. COVAC will select and contract with the billing agency and provide the town with a monthly report.
4. Initially, in the first year the town will pay all bills for the essential operation of the ambulance service under the same guidelines
currently in place. COVAC will reimburse the town for all expenses bi-monthly from the proceeds of billing. The billings for eleven months of 2013 will provide them with a financial picture to help form the basis of their revenue stream going forward.
5. During the first year 9(until 12/31/13) COVAC will accumulate excess funds to build capitol resources. COVAC agreexs not to expend any additional funds received from billing during this period with the exception of the funds to reimburse the town for expenses.
6. In year two, starting 1/1/14 COVAC will continue to utilize the current town facilities and equipment and the town will continue to pay the costs associated with these items including all insurance. COVAC will reimburse the costs incurred by the town for
these items on a bi-monthly basis. (All expendable supplies such as medical, office supplies, etc. will be purchased directly by COVAC).
7. During year two COVAC will move forward to purchase vehicles and equipment necessary for their operation and have it available by 1/1/15.
Any items currently owned by the town that COVAC would have interest in will be addressed during this period.
8. During the first two years COVAC can review its options for a permanent facility for their operations with a goal of moving forward during the third year of the agreement if not sooner.
9. By the start of year three, starting 1/1/15 COVAC should have acquired the vehicles and equipment necessary to provide its services and have in place their insurance for its operations. The town should not have to subsidize their day to day operations with the exception of the building which the town owns and will continue to insure and maintain. COVAC will reimburse the costs incurred for the building on a bi-monthly basis.
10. By the end of the three year agreement the town and COVAC should have completed the transition of ambulance services from government run to services provided by the private entity of COVAC.


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