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2023-199
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2023-199
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Last modified
10/16/2023 2:21:57 PM
Creation date
10/16/2023 2:20:37 PM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/12/2023
Control Number
2023-199
Agenda Item Number
10.A.1.
Subject
State of Florida Agency for Health Care Administration
Maintain necessary records and supporting documentation applicable to health services
Area
Directed Payment Program Letter of Agreement
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7. Indian River County LPPF agrees the following provision shall be included in any <br />agreements between Indian River County LPPF and local providers where IGT funding is <br />provided pursuant to this LOA. Funding provided in this agreement shall be prioritized so <br />that designated IGT funding shall first be used to fund the Medicaid program and used <br />secondarily for other purposes. <br />8. This LOA covers the period of July 1, 2023, through June 30, 2024, and shall be <br />terminated September 30, 2024, 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 Intergovernmental Transfers <br />Program / Amount State Fiscal Year 2023-2024 <br />1 Estimated IGTs $3,005,374.88 <br />Total Funding Not to Exceed $3,005,374.88 <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 />Indian River County LPPF <br />SIGNED <br />BY: <br />NAME: John A. Ti tkan ich <br />TITLE: County Administrator <br />DATE: September 12, 2023 <br />STATE OF FLORIDA, AGENCY FOR <br />HEALTH CARE ADMINISTRATION <br />SIGNED <br />BY: <br />NAME: Thomas Wallace <br />TITLE: Deputy Secretary, Division of <br />Medicaid <br />DATE: <br />STATE OF FLORIDA <br />INDIAN RIVER COUNTY <br />THIS IS TO CERTIFY THAT THIS IS A <br />TRUE AND CORRECT COPY OF THE <br />ORIGINAL ON FILE IN THIS OFFICE. <br />RYAN L 13l11fL�E,R, UERK�, ^ <br />U4J BY, <br />'•.art ceu�M1';,. <br />9� <br />DEP TY CL RK <br />DATE I 3 <br />Indian River County LPPF_Region 9 _DPP LOA_SFY 2023- <br />24 <br />
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