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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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Copy of Indian River County Supplemental Packet Roll <br />MCD ID # <br />Organization <br />Facility <br />Hospital Address <br />Parcel # <br />Rate <br />Payment <br />Invoice Address <br />10104400 <br />Cleveland Clinic <br />Indian River Medical <br />1000 36th St. <br />0.78% NPR <br />$2,281,523 <br />1000 36th St. <br />Health System <br />Center/ Cleveland Clinic <br />Vero Beach, FL 32960 <br />32393600000300000000 <br />Vero Beach, FL 32960 <br />Indian River Hospital <br />12034100 <br />Encompass Health <br />Encompass Health <br />1600 37th St. <br />32392600000700000000 <br />0.78% NPR <br />$216,606 <br />9001 Liberty Parkway <br />Rehabilitation <br />Rehabilitation Hospital of <br />Vero Beach, FL 32960 <br />Birmingham, AL, 35242 <br />Hospital of <br />Treasure Coast <br />Treasure Coast <br />12001400 <br />Sebastian River <br />Sebastian River Medical <br />13695 US -1 <br />30382500000002000000 <br />0.78% NPR <br />$667,846 <br />1900 N. Pearl St., Ste 2400 <br />Medical Center <br />Center <br />Sebastian, FL 32958 <br />Dallas, Texas 75201 <br />County Phone Number: (772) 226-1408 <br />BCC Address: Indian River County Administration Building A located at 1801 27th St, Vero Beach, FL 32960 <br />Ordinance Date: September 14, 2021 <br />Resolution Date: September 20, 2022 <br />Disability Contact: Indian River County at Accessibility@ircgov.eom or (772) 226-1391 <br />Mandatory Payments Due Date: November 30, 2022 <br />
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