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TRANSFER OF ADMINISTRATIVE DUTIES FOR _CHAPTER _88-294 FROM BCC TO THE HOSPITAL TAXING DISTRICT Administrator Chandler reviewed memo from Welfare Director Joyce Johnston: TO: Board of County Commissioners THRU: James Chandler County Administrator FROM Joyce M. Johnston Director of Welfar DATE: June 6, 1989 FILE: TRANSFER OF ADMINI- SUBJECT: STRATIVE DUTIES FOR CHAPTER 88-294; S. 409.2663, FS FROM IRC COMMISSIONERS TO THE IRC HOSPITAL TAX- ING DISTRICTS REFERENCES: The Statute creates the Shared County and State Health Care Program for low-income persons, establishing a policy in which the State and local governments jointly provide health care services to low income persons who do not meet the criteria for Medicaid, for inpatient, in -County hospital care. Participation in this program is mandatory for each County as of October 1, 1989. There are several levels of funding provided in the Statute. The level affecting Indian River County is as follows: (a) If on July 1, 1988, a County is funding inpatient hospital services for those who would be eligible for the program, the County shall fund 350 of the cost and the State shall provide the remaining 650 of the funding required for this program. A County participating at this level shall use that portion of its budget that previously would have funded these inpatient hospital services, and that, under this program, has been offset by State funding, for funding other health programs. To receive the State appropriation, Indian River County had to meet a level of spending for in -County, in-hospital care for low-income residents. Indian River County met this criteria through tax dollars of the Indian River Hospital Taxing District. The estimated dollar amount given by State Department of Health and Rehabilitative Services for Indian River County is $82,670, which covers services only and does not include administrative costs. The second level of responsibility is each hospital, to be eligible to receive any of these monies, must demonstrate 5% of their total income as charity. Indian River Memorial is the only hospital in the County who met this obligation. The result of these two obligations is Indian River Memorial Hospital will receive all money allocated from the State of Florida. If the Indian River County Welfare Department administers this program instead of the hospital, the low-income residents will need to go through two levels of application: 1. Meet hospital admission requirements. 2. Apply with County Welfare for approval to have the allocated funds pay for services not covered by the hospital. To make the application and approval process as efficient as possible, it is recommended the Indian River County Commissioners legal staff, in cooperation with the legal staff for the Indian River County Hospital Taxing District write a contract for signatures transferring * administrative responsibility to the Indian River Hospital Taxing District. 57 L �JUN 13 69