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Tad Stone <br />From: Dylan Reingold <br />Sent: Tuesday, December 03, 201910:53 AM <br />To: 'Kristen.Johnson@ahca.myflorida.com' <br />Cc: Steve Greer; Tad Stone <br />Subject: PEMT LOA <br />Kristen, <br />Thank you for talking with me this morning about the proposed LOA. As we discussed, the Indian River County <br />Emergency Services District will be sending roughly $146,000 to ARCA. ACHA will pool that money with the other IGTs <br />that are submitted to AHCA. AHCA will then use that money as a match to obtain federal dollars. Then at the end of the <br />day money will flow back to the various entities, including the Indian River County Emergency Services District, from the <br />managed care entities. <br />The concern I have is that none of this is spelled out in the LOA. All the LOA requires is that the Indian River County <br />Emergency Services District submit the funds to ANCA and that the Indian River County Emergency Services District will <br />have to comply with various legal requirements. However, the LOA contains no obligations on AHCA. Thus, the Indian <br />River County Emergency Services District is not getting anything in return from AHCA under the LOA. <br />I would recommend that at a minimum background recitals or whereas clauses be added that help explain the process <br />and what the Indian River County Emergency Services District is getting in return for meeting its obligations. Without <br />such language, the LOA is an agreement by the Indian River County Emergency Services District to perform actions, with <br />no exchange, bargain or consideration from AHCA. <br />I would welcome a conversation with an attorney in your office. <br />Thank you! <br />Dylan Reingold <br />County Attorney <br />Indian River County <br />215 <br />