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2022-180
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2022-180
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Last modified
10/17/2022 2:09:01 PM
Creation date
10/17/2022 2:08:32 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/20/2022
Control Number
2022-180
Agenda Item Number
10.A.1.
Entity Name
State of Florida, Agency for Health Care Administration
Subject
Directed Payment Program Letter of Agreement; Authorizing and adopting a non-ad valorem special
assessment within the county limitsfor the purpose of benefiting assessed properties through
enhanced Medicaid payments for local services
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DocuSign Envelope ID: 8650F830-9592-4E2A-A70D-CF9CEEF344CD <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />7. IGT Provider agrees the following provision shall be included in any agreements between <br />IGT Provider and local providers where IGT funding is provided pursuant to this LOA. <br />Funding provided in this agreement shall be prioritized so that designated IGT funding <br />shall first be used to fund the Medicaid program and used secondarily for other purposes. <br />S. This LOA covers the period of July 1, 2022 through June 30, 2023 and shall be terminated <br />September 30, 2023, which includes the states certified forward period. <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 />DPP Local Inter overnmental Transfers <br />Program / Amount State Fiscal Year 2022-2023 <br />Estimated IGTs $2,870,123.00 <br />Total Funding Not to Exceed $2,870,123.00 <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 />IGT Provider <br />SIGNED <br />BY: <br />NAME: <br />TITLE: <br />DATE: <br />STATE OF FLORIDA, AGENCY FOR <br />IEALTH CARE ADMINISTRATION <br />Indian River County LPPF <br />Region 9 <br />SIGNED <br />BY: <br />NAME: <br />TITLE: <br />DATE: <br />DPP LOA SFY 2022-23 <br />
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