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06/20/2017
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06/20/2017
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Last modified
4/29/2025 1:57:32 PM
Creation date
8/21/2017 11:46:15 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
06/20/2017
Meeting Body
Board of County Commissioners
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13. To the extent that the County Clerk of the Circuit Court acts as the <br />County's agent or administrator for purpose of Medicaid payments to recipients, the term <br />"County" as used in this MOA shall include the Clerk of the Circuit Court, provided that this <br />MOA is also executed by the Clerk of the Circuit Court as provided below. <br />14. This MOA shall commence the last day executed by all parties and shall continue until June <br />30, 2023, provided, however, that the confidentiality requirements regarding the limited <br />FLORIDA data shall survive the expiration or termination of this MOA. This MOA may be <br />terminated by either party without cause upon 30 days written notice. This MOA may be <br />terminated by either party for cause upon no less than 24 hours written notice. The <br />Department may administratively suspend access to the FLORIDA System at any time the <br />Department has reason to believe that the County is not in full compliance with the <br />provisions of this MOA. <br />15, This MOA may be renewed once for a period not to exceed three (3) years or for the term of <br />the original contract, whichever period is longer. To be eligible for renewal, the Exhibit E, <br />Annual Affirmation Statement, must be completed and signed. Such renewal shall be made <br />by mutual agreement and shall be contingent upon satisfactory contract monitoring as <br />determined by the Department. Any renewal shall be in writing and shall be subject to the <br />same terms and conditions as set forth in the initial Agreement including any amendments. <br />16. Designation of Agreement Coordinators: <br />County contact/coordinator: <br />Name — <br />Title - <br />Organization <br />Mailing Address (city, state, ZIP) <br />Phone - <br />Email - <br />Department contact/coordinator: <br />Janice D. Johnson <br />Contract Manager <br />Florida Department of Children and Families <br />Economic Self -Sufficiency Program Office <br />1317 Winewood Blvd., Bldg. 3, Room 461 <br />Tallahassee, FL 32399-0700 <br />(850) 717-4110 <br />JD.JohnsonO-mvflfamilies.com <br />Clerk of Circuit Court contact/coordinator (of applicable): <br />Name - <br />Title - <br />Organization <br />Mailing Address (city, state, ZIP) <br />Phone - <br />Email - <br />17. Attachments: <br />Exhibit A — County Use and Security Requirements <br />Exhibit B — FLORIDA System screen shots <br />Exhibit C — FLORIDA Individual Security Information Form <br />Exhibit D — CF 114 Security Agreement Form <br />Exhibit E — Department of Children and Families Annual Affirmation Statement <br />3.I P.a_ge.. <br />P75 <br />
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