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2019-213
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2019-213
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Last modified
12/30/2019 3:10:59 PM
Creation date
12/18/2019 3:01:29 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
12/17/2019
Control Number
2019-213
Agenda Item Number
15.A.1.
Entity Name
Indian River County Emergency Services District and
the Agency for Health Care Administration (ACHA)
Subject
Letter of Agreements Public Emergency Medical Transportation the Approval and execution.
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The Indian River County Emergency Services District and the Agency agree that any <br />modifications to this LOA shall be in the same form, namely the exchange of signed copies <br />of a revised LOA. <br />6. Indian River County Emergency Services District confirms that there are no pre -arranged <br />agreements (contractual or otherwise) between the respective counties, taxing districts, <br />and/or the providers to re -direct any portion of these aforementioned supplemental <br />payments in order to satisfy non -Medicaid, non -uninsured, and non -underinsured <br />activities. <br />7. Indian River County Emergency Services District agrees the following provision shall be <br />included in any agreements between Indian River County Emergency Services District <br />and local providers where IGT funding is provided pursuant to this LOA. Funding provided <br />in this agreement shall be prioritized so that designated IGT funding shall first be used to <br />fund the Medicaid program and used secondarily for other purposes. <br />8. This LOA covers the period of July 1, 2019 through June 30, 2020 and shall be terminated <br />June 30, 2020. <br />9. This LOA may be executed in multiple counterparts, each of which shall constitute an <br />original, and each of which shall be fully binding on any party signing at least one <br />counterpart. <br />IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be <br />executed by their undersigned officials as duly authorized. <br />Indian River County Emergency Services STATE OF FLORIDA, AGENCY FOR <br />District ,..,••'' • r� •V HEALTH CARE ADMINISTRATION <br />= _-_IFY THAT THIS IS <br />`a CORRECT COPY OF <br />ON FILE IN THIS <br />SIGNE <br />F` <br />SIGNED <br />BY: <br />BY: <br />0 = NAME: <br />Su n Adams ',o'• <br />NAME: <br />TITLE: <br />.o <br />Chairman •�-9;�Fq••o`t;'� <br />TITLE: <br />0 � <br />crnr <br />". <br />�� DATE: <br />December 17, 2019 <br />DATE: <br />d� <br />'a cn <br />APPROVED AS TOFOR <br />0 3 <br />Ate LEGAL UFFICIE C <br />1/1", <br />g?a <br />cM <br />n <br />� � <br />wILLIA. i•c. �BFeAAL <br />Then River County 1 b•r Tfy_g1 Dij9& PrMT LOA_SFY 2019-20 <br />= _-_IFY THAT THIS IS <br />`a CORRECT COPY OF <br />ON FILE IN THIS <br />
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