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2021-054
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Last modified
9/24/2021 9:42:33 AM
Creation date
9/24/2021 9:41:48 AM
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Resolutions
Resolution Number
2021-054
Approved Date
09/21/2021
Agenda Item Number
10.A.2.
Resolution Type
Assessment Resolution
Entity Name
LPPF (Local Provider Participation Fund)
Subject
Assessment Resolution to assist local hospitals recover unreimbursed Medicaid costs
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2. Reimburse the County for administrative costs associated with the implementation of the <br />Assessment authorized by the Ordinance. <br />If, at the end of the Fiscal Year, additional amounts remain in the local provider participation fund, <br />the Board is hereby authorized either (a) to refund to Assessed Properties, in proportion to amounts <br />paid in during the Fiscal Year, all or a portion of the unutilized local provider participation fund, <br />or (b) if requested to do so by the Assessed Properties, to retain such amounts in the fund to transfer <br />to the Agency in the next fiscal year for use as the non-federal share of Medicaid hospital <br />payments. <br />If, after the Assessment funds are transferred to the Agency, the Agency returns some or all of the <br />transferred funding to the County (including, but not limited to, a return of the non-federal share <br />after a disallowance of matching federal funds), the Board is hereby. authorized to refund to <br />Assessed Properties, in proportion to amounts paid in during the Fiscal Year, the amount of such <br />returned funds. <br />Section 5. Computation of Assessment. The Assessment shall equal 2.1% of net <br />patient revenue for each Assessed Property specified in the attached Non -Ad Valorem Assessment <br />Roll. The amount of the Assessment required of each Assessed Property may not exceed an amount <br />that, when added to the amount of other hospital assessments levied by the state or local <br />government, exceeds the maximum percent of the aggregate net patient revenue of all Assessed <br />Hospitals in the County permitted by 42 C.F.R. § 433.68(0(3)(i)(A). Assessments for each <br />Assessed Property will be derived from data contained in cost reports and/or in the Florida Hospital <br />Uniform Reporting System, as available from the Florida Agency for Health Care Administration. <br />Section 6. Timing and Method of Collection. The amount of the assessment is to be <br />collected pursuant to the Alternative Method outlined in §197.3631, Fla. Stat. <br />The County shall provide Assessment bills by first class mail to the owner of each affected <br />Hospital. The bill or accompanying explanatory material shall include: (1) a reference to this <br />Resolution, (2) the total amount of the hospital's Assessment for the appropriate period, (3) the <br />location at which payment will be accepted, and (4) the date on which the Assessment is due. <br />No act of error or omission on the part of the Assessment Coordinator, Board, or their <br />deputies or employees shall operate to release or discharge any obligation for payment of the <br />Assessment imposed by the Board under the Ordinance and this resolution. <br />Section 7. Public Hearing. Per the notice provided by first class mail sent on August <br />31, 2021 and notice published in the Indian River Press Journal on September 1, 2021, the Board <br />has heard and considered objections of all interested persons prior to rendering a decision on the <br />Assessment and attached Non -Ad Valorem Assessment Roll. <br />Section 8. Responsibility for Enforcement. The County and its agent, if any, shall <br />maintain the duty to enforce the prompt collection of the Assessment by the means provided herein. <br />The duties related to collection of assessments may be enforced at the suit of any holder of <br />4 <br />US Active\118603232\V-1 <br />
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