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2024-243
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2024-243
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Last modified
10/21/2024 12:53:20 PM
Creation date
10/21/2024 12:51:22 PM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/24/2024
Control Number
2024-243
Agenda Item Number
10.A.2.
Entity Name
State of Florida Agency for Health Care Administration
Subject
Directed Payment Program Letter of Agreement
Document Relationships
2024-244
(Cover Page)
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\Official Documents\2020's\2024
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STATE OF FLORIDA <br />INDIAN RIVER COUNTY <br />THIS IS39 CERTIFY�THLAT TbN6 iS TRUE AND CORRECT <br />COPY E ORI f IN 7H OFFICE <br />n. k CLERK i 1 <br />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, 2024, through June 30, 2025, and shall be <br />terminated September 30, 2025, 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 2024-2025 <br />Estimated IGTs $3,476,012.00 <br />Total Funding Not to Exceed $3,476,012.00 <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 />INDIAN RIVER COUNTY LPPF "�pn�Mig <br />SIGN <br />BY: <br />NAME: usan Adams <br />TITLE:✓ER co <br />Chairman <br />DATE: September 24, 2024 <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />By: <br />�cIty clerk` <br />OF FLORIDA, AGENCY FOR <br />I CARE ADMINISTRATION <br />off= <br />N Tom Wallace <br />71ITLE: Deputy Secretary for Health Care <br />Finance and Data <br />DATE: <br />Indian River County LPPF _Region 9_DPP LOA_SFY 2024-25 <br />
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