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INTERLOCAL AGREEMENT BETWEEN INDIAN RIVER COUNTY, <br /> FLORIDA AND THE INDIAN RIVER COUNTY HOSPITAL DISTRICT <br /> FOR PAYMENT BY THE INDIAN RIVER COUNTY HOSPITAL <br /> DISTRICT OF MEDICAID EXPENSES <br /> THIS INTERLOCAL AGREEMENT (the "Agreement"), made and entered into this <br /> day of , 2013, between Indian River County, Florida, a political <br /> subdivision of the State of Florida (the "County") and Indian River County Hospital District, a <br /> Special Independent Hospital District of the State of Florida, County of Indian River (the <br /> "District"), provides for the District to pay the portion of Medicaid costs attributable to the <br /> District, allocated to the County by the State of Florida, based upon the recent Medicaid <br /> reimbursement data. <br /> WITNESSETH: <br /> WHEREAS,the District reimburses the County for those specific Medicaid charges from <br /> the Agency for Health Care Administration (the "Agency") that are attributable to the District; <br /> and <br /> WHEREAS, in 2013,the Florida Legislature replaced the existing county-state Medicaid <br /> cost sharing relationship with a fixed formula-based approach; and <br /> WHEREAS, the total base amount determined for all counties for the State's FY 2013- <br /> 14 is $269.6M; and <br /> �r WHEREAS, for the State's FY 2013-14, the County portion of the total county <br /> contribution determined by the Department of Revenue is$1,071,296; and <br /> WHEREAS, for the State's future fiscal years (July 0-June 30th), the Department of <br /> Revenue will notify each county of its annual contribution by June 1 of each year; and <br /> WHEREAS, based upon the past three years of data, the District has reimbursed the <br /> County approximately 27.8%of the total Medicaid expenses paid by the County to ARCA; and <br /> WHEREAS, now that the Florida Legislature replaced the existing county-state <br /> Medicaid cost sharing relationship with the fixed formula-based approach, the County and the <br /> District wish to memorialize the percentage amount owed by the District to the County, <br /> NOW, THEREFORE, in consideration of the mutual undertakings and agreements <br /> herein contained and assumed, and other good and valuable consideration, the receipt and <br /> sufficiency of which are acknowledged by the parties,the County and District agree as follows: <br /> SECTION 1. RECITALS INCORPORATED. <br /> The above recitals are true and correct and are incorporated herein. <br /> F.UiromeyVndalGe...UmerixalAgreemeWsulospil&Dismcr(Medlcmd).deo Page 1 of S August 30,2013 <br /> 163 <br />