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ATTORNEY'S MATTERS: 9117/13 <br /> t <br /> Office of {, <br /> INDIAN RIVER COUNTY <br /> ` ATTORNEY <br /> Dylan Reingold,County Attorney <br /> William K.DeBraal,Deputy County Attorney <br /> MEMORANDUM <br /> TO: Board of County Commissioners <br /> FROM: Dylan Reingold — County Attorney <br /> DATE: August 30, 2013 <br /> SUBJECT: Interlocal Agreement between Indian River County Hospital District and <br /> Indian River County Establishing Process for Reimbursement to Indian <br /> River County for Medicaid Expenses <br /> BACKGROUND <br /> The Indian River County Hospital District is a Special Independent Hospital District of <br /> the State of Florida (the "District"). The District reimburses the County for those specific <br /> Medicaid charges from the Agency for Health Care Administration (the "Agency") that <br /> are attributable to the District. In 2013, the Florida Legislature replaced the existing <br /> county-state Medicaid cost sharing relationship with a fixed formula-based approach. <br /> Therefore the County no longer will be receiving specific charges from the Agency, but <br /> instead will receive a contribution amount calculated as Indian River County's portion of <br /> total county contribution. <br /> The total base amount determined for all counties for the State's FY 2013-14 is <br /> $269.6M. For the State's FY 2013-14, the County portion of the total county contribution <br /> determined by the Department of Revenue is $1,071,296. For the State's future fiscal <br /> years (July 1St-June 30th), the Department of Revenue will notify each county of its <br /> annual contribution by June 1 of each year. <br /> This interlocal agreement with the District establishes the process for how the District <br /> will reimburse the County for Medicaid expenses for this year and future years. <br /> �-( A aved Date <br /> APPROVED FOR s Legal <br /> B.C.C. MEETING - REGU SNDA 1 Budget 1 13 <br /> CUeG1• 161 <br /> ` COUNTY ATTORNEY RISK Mgr. <br />