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MEMORANDUM OF AGREEMENT FOR LIMITED COUNTY ACCESS TO FLORIDA SYSTEM DATA This Memorandum of Agreement for Limited County Access to Florida Online Recipient Integrated Data Access (FLORIDA) System data (hereinafter "MOA") is entered into between the Florida Department of Children and Families, Office of Economic Self -Sufficiency (the Department) and County (the County). WHEREAS, the Department maintains certain information in the FLORIDA System regarding applicants for and recipients of Medicaid Services; WHEREAS, in 2012, House Bill 5301 mandated that the Department and the Agency for Health Care Administration (ARCA) work together to assist counties in processing Medicaid invoices sent to the counties for payment of the county share as required, by section 409.915, Florida Statute, which states that Florida counties will pay a portion of the state Medicaid expenditures; WHEREAS, the County needs ,to access limited data on the FLORIDA System to confirm recipients of Medicaid Services were residents of the County when services were rendered for payment purposes; and WHEREAS, as part of the effort to assist counties with this issue, the Department is willing to provide designated County employees limited access to the address data in the FLORIDA System for such purposes, provided that the County complies with certain security and confidentiality requirements. NOW THEREFORE, IT 1S AGREED AS FOLLOWS: The foregoing recitations are true and incorporated into the terms of this MOA by reference. 2. Conditioned on the County's compliance with the terms of the "County Use and Security Requirements" ("Exhibit A") to this MOA and the terms below, the Department will grant authorized County employee's limited access to the FLORIDA System to verify Medicaid recipient addresses. Authorized County employees will be. provided "view only" access to the screens shown in "Exhibit B" to this MOA (hereinafter the "limited FLORIDA data"). The Department will have sole discretion to determine the means of access and the manner of display of the limited FLORIDA data. 3. The County. hereby agrees to comply with the terms of Exhibit A and will access the limited FLORIDA data exclusively for purposes of verifying Medicaid recipient addresses for payment of the County's portion of state Medicaid expenditures and will not utilize nor permit any person to utilize the limited FLORIDA data for any other purpose. Any County record of the limited FLORIDA data shall be maintained and used only in accordance with the terms of this MOA; however, the foregoing does not limit the right of the parties to enter into subsequent agreements or seek court or administrative orders authorizing the use of these records in judicial or administrative proceedings. 4. The Department will provide appropriate and timely training and support to the County, including its employees, with regard to FLORIDA System access. 5. Prior to granting access to the FLORIDA System to individual users at the County level, the following must be accomplished: I I P a g e P73