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2024-062
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Last modified
9/30/2024 11:19:33 AM
Creation date
9/30/2024 11:17:36 AM
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Resolutions
Resolution Number
2024-062
Approved Date
09/24/2024
Agenda Item Number
10.A.2.
Resolution Type
Adopting a Non=Ad Valorem Special Assessment
Entity Name
Local Provider Participation Fund (LPPL)
Subject
Adopting a Non-Ad Valorem tax for the purpose of enhanced Medicaid payments for local services
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RESOLUTION NO.2024- 062 <br />the County. Proceeds from the Assessment shall be used to benefit Assessed Properties through a <br />directed payment program that will benefit the Assessed Properties for Local Services. <br />When imposed, the Assessment shall constitute a lien upon the Assessed Properties owned <br />by Hospitals and/or a lien upon improvements on the Property made by Hospital leaseholders equal <br />in rank and dignity with the liens of all state, county, district, or municipal taxes and other non -ad <br />valorem assessments. Payments made by Assessed Properties may not be passed along to patients <br />of the Assessed Property as a surcharge or as any other form of additional patient charge. Failure to <br />pay may cause foreclosure proceedings, which could result in loss of title, to commence. <br />Section 4. Assessment Scope, Basis, and Use. Funds generated from the Assessment <br />shall be used only to: <br />Provide to the Florida Agency for Health Care Administration the non-federal share of <br />Medicaid managed care hospital directed payments to be made directly or indirectly in <br />support of hospitals serving Medicaid beneficiaries; and <br />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 retain such amounts in the fund to transfer to the <br />Agency in the next fiscal year for use as the non-federal share of Medicaid hospital payments, or <br />(b) if requested to do so by the Assessed Properties, to refund to Assessed Properties, in proportion <br />to amounts paid in during the Fiscal Year, all or a portion of the unutilized local provider <br />participation fund. <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 0.56% 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 state permitted by 42 C.F.R. § 433.68(f)(3)(i)(A). Assessments for each Assessed <br />Property will be derived from data contained in cost reports and/or in the Florida Hospital Uniform <br />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 collected <br />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 />4 <br />US Active\118603232\V-1 <br />
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