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INTERLOCAL AGREEMENT BETWEEN INDIAN RIVER COUNTY, FLORIDA AND THE INDIAN RIVER COUNTY HOSPITAL DISTRICT a FOR PAYMENT BY THE INDIAN RIVER COUNTY HOSPITAL DISTRICT OF MEDICAID EXPENSES L o U) � C 00 Q THIS INTERLOCAL AGREEMENT (the "Agreement") , made and entered into this w cr LL Ln 17th day of September , 2013 , between Indian River County, Florida, a political o subdivision of the State of Florida (the "County") and Indian River County Hospital District, a m w LL o, Special Independent Hospital District of the State of Florida, County of Indian River (the CL v z QW M "District") , provides for the District to pay the portion of Medicaid costs attributable to the = m o r District, allocated to the County by the State of Florida, based upon the recent Medicaid N Z N reimbursement data. r — WC7 No > a 0o } ( � WITNESSETH : CnLwWZ LL 04 U Ow z Y WHEREAS , the District reimburses the County for those specific Medicaid charges from m the Agency for Health Care Administration (the "Agency") that are attributable to the District; and WHEREAS, in 2013 , the Florida Legislature replaced the existing county- state Medicaid cost sharing relationship with a fixed formula-based approach ; and WHEREAS, the total base amount determined for all counties for the State ' s FY 2013 - 14 is $ 269 . 6M ; and WHEREAS, for the State ' s FY 201344 , the County portion of the total county contribution determined by the Department of Revenue is $ 1 , 071 ,296 ; and WHEREAS, for the State ' s future fiscal years (July 04une 301h) , the Department of Revenue will notify each county of its annual contribution by June 1 of each year; and WHEREAS , based upon the past three years of data, the District has reimbursed the County approximately 27 . 8% of the total Medicaid expenses paid by the County to AHCA ; and WHEREAS, now that the Florida Legislature replaced the existing county- state Medicaid cost sharing relationship with the fixed formula-based approach, the County and the District wish to memorialize the percentage amount owed by the District to the County, NOW, THEREFORE , in consideration of the mutual undertakings and agreements herein contained and assumed, and other good and valuable consideration, the receipt and sufficiency of which are acknowledged by the parties , the County and District agree as follows : SECTION 1 . RECITALS INCORPORATED. The above recitals are true and correct and are incorporated herein. F. 1AttoraeylLindalGemralVwert"al AgreememjWospitaiDieMet (Me&caid).dx Page 1 of 5 August 30, 2013