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2020-207
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Last modified
3/5/2021 11:29:56 AM
Creation date
9/28/2020 10:36:01 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/22/2020
Control Number
2020-207
Agenda Item Number
15.A.1.
Entity Name
Agency for Health Care Administration
Subject
Public Medical Transportation Letter of Agreement
Agency for Health Care Administration for Public Emergency Transportation payments
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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- <br />arranged agreements (contractual or otherwise) between the respective counties, taxing <br />districts, and/or the providers to re -direct any portion of these aforementioned <br />supplemental payments in order to satisfy non -Medicaid, non -uninsured, and non - <br />underinsured activities. <br />7. Indian River County Emergency Services District agrees the following provision shall <br />be included in any agreements between Indian River County Emergency Services <br />District and local providers where IGT funding is provided pursuant to this LOA. Funding <br />provided in this agreement shall be prioritized so that designated IGT funding shall first be <br />used to fund the Medicaid program and used secondarily for other purposes. <br />8. This LOA covers the period of July 1, 2020 through June 30, 2021 and shall be terminated <br />June 30, 2021. <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 />PEMT Local Intergovernmental Transfers <br />Program / Amount State Fiscal Year 2020-2021 <br />Minimum Fee Schedule/MCO IGTs $97,570.17 <br />Total F $97,570.17 <br />Ae",�vF LEGAL SUF-FICIEiv <br />FAY <br />I YLAN 'RE'I SGOLD <br />0,0U N T Y (ATTORNEY <br />IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be <br />ecuted by their undersigned officials as duly authorized. <br />dj <br />is1 <br />S <br />Sli <br />20/9LR�� R COUNT <br />r County Emerge <br />TITLE: Chairman <br />DATE: September 22, 2020 <br />Attest: Jeffrey R. Smith, Clerk of <br />Cimlit Court and Comptroller <br />or <br />vU <br />Deputy Clerk <br />STATE OF FLORIDA, AGENCY FOR <br />HEALTH CARE ADMINISTRATION <br />SIGNED <br />BY: <br />NAME: <br />TITLE: <br />DATE: I 01151 )L) Z76 <br />APPROVED <br />CGL,A- <br />
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