HomeMy WebLinkAbout2021-138Public Emergency Medical Transportation Letter of Agreement
THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the
day of 2021, by and between Indian River County Emergency Services District on
behalf of Indian River County ALS, and the State of Florida, Agency for Health Care
Administration (the "Agency"), for good and valuable consideration, the receipt and sufficiency
of which is acknowledged.
DEFINITIONS
"Intergovernmental Transfers (IGTs)" means transfers of funds from a non -Medicaid
governmental entity (e.g., counties, hospital taxing districts, providers operated by state or local
government) to the Medicaid agency. IGTs must be compliant with 42 CFR Part 433 Subpart B.
"Medicaid" means the medical assistance program authorized by Title XIX of the Social Security
Act, 42 US.C. §§ 1396 et seq., and regulations thereunder, as administered in Florida by the
Agency.
"Public Emergency Medical Transportation (PEMT)," pursuant to the General Appropriation Act,
Laws of Florida 2021-111, is the program that provides supplemental payments for eligible Public
Emergency Medical Transportation (PEMT) entities that meet specified requirements and provide
emergency medical transportation services to Medicaid beneficiaries.
A. GENERAL PROVISIONS
Per Senate Bill 2500, the General Appropriations Act of State Fiscal Year 2021-2022,
passed by the 2021 Florida Legislature, the Indian River County Emergency Services
District and the Agency agree that the Indian River County Emergency Services
District will remit IGT funds to the Agency in an amount not to exceed the total of
$212,912.84. The Indian River County Emergency Services District and the Agency
have agreed that these IGT funds will only be used for the PEMT program.
2. The Indian River County Emergency Services District will return the signed LOA to
the Agency.
3. The Indian River County Emergency Services District will pay IGT funds to the
Agency in an amount not to exceed the total of $212,912.84. The Indian River County
Emergency Services District will transfer payments to the Agency in the following
manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2021
through June 2022 are due to the Agency no later than October 31, 2021 unless
an alternative plan is specifically approved by the agency.
b. The Agency will bill the Indian River County Emergency Services District
when payment is due.
4. The Indian River County Emergency Services District and the Agency agree that the
Agency will maintain necessary records and supporting documentation applicable to
Indian River County Emergency Services District—Indian River County ALS—PEMT LOA_SFY 2021-22
health services covered by this LOA in accordance with public records laws and
established retention schedules.
a. AUDITS AND RECORDS
i. Indian River County Emergency Services District agrees to maintain books,
records, and documents (including electronic storage media) pertinent to
performance under this LOA in accordance with generally accepted accounting
procedures and practices, which sufficiently and properly reflect all revenues and
expenditures of funds provided.
ii. Indian River County Emergency Services District agrees to assure that these
records shall be subject at all reasonable times to inspection, review, or audit by
state personnel and other personnel duly authorized by the Agency, as well as by
federal personnel.
iii. Indian River County Emergency Services District agrees to comply with public
record laws as outlined in section 119.0701, Florida Statutes.
b. RETENTION OF RECORDS
The Indian River County Emergency Services District agrees to retain all
financial records, supporting documents, statistical records, and any other
documents (including electronic storage media) pertinent to performance under this
LOA for a period of six (6) years after termination of this LOA, or if an audit has
been initiated and audit findings have not been resolved at the end of six (6) years,
the records shall be retained until resolution of the audit findings.
ii. Persons duly authorized by the Agency and federal auditors shall have full access
to and the right to examine any of said records and documents.
iii. The rights of access in this section must not be limited to the required retention
period but shall last as long as the records are retained.
c. MONITORING
i. Indian River County Emergency Services District agrees to permit persons duly
authorized by the Agency to inspect any records, papers, and documents of the
Indian River County Emergency Services District which are relevant to this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
The Indian River County Emergency Services District agrees to neither assign
the responsibility of this LOA to another party nor subcontract for any of the work
contemplated under this LOA without prior written approval of the Agency. No such
approval by the Agency of any assignment or subcontract shall be deemed in any
event or in any manner to provide for the incurrence of any obligation of the Agency
in addition to the total dollar amount agreed upon in this LOA. All such assignments
or subcontracts shall be subject to the conditions of this LOA and to any conditions
of approval that the Agency shall deem necessary.
5. This LOA may only be amended upon written agreement signed by both parties.
Indian River County Emergency Services District—Indian River County ALS_PEMT LOA_SFY 2021-22
The Indian River County Emergency Services District and the Agency agree that any
modifications to this LOA shall be in the same form, namely the exchange of signed copies
of a revised LOA.
6. Indian River County Emergency Services District confirms that there are no pre-
arranged agreements (contractual or otherwise) between the respective counties, taxing
districts, and/or the providers to re -direct any portion of these aforementioned
supplemental payments in order to satisfy non -Medicaid, non -uninsured, and non -
underinsured activities.
7. Indian River County Emergency Services District agrees the following provision shall
be included in any agreements between Indian River County Emergency Services
District and local providers where IGT funding is provided pursuant to this LOA. Funding
provided in this agreement shall be prioritized so that designated IGT funding shall first be
used to fund the Medicaid program and used secondarily for other purposes.
8. This LOA covers the period of July 1, 2021 through June 30, 2022 and shall be terminated
June 30, 2022.
9. This LOA may be executed in multiple counterparts, each of which shall constitute an
original, and each of which shall be fully binding on any party signing at least one
counterpart.
PEMT Local Intergovernmental Transfers
Program / Amount State Fiscal Year 2021-2022
Minimum Fee Schedule/MCO IGTs $212,912.84
Total Funding $212,912.84
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly 4L" �•..
Indian River County Emergency Service F�►�1s OF FLORIDA, AGENCY FOR
District EH CARE ADMINISTRATION
SIGNED SIGNED
BY:
E: Joseph E. Flescher •�^��'�RCOu�l�1-tFAME:
T E: Chairman TITLE:
DATE: September 14, 2021 DATE:
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R ; Attest: Jeffrey R. Smith, Clerk of
Indian River County ertterj "A(iges t,#f'Tndia�+I(I 4#&ft4 dGMhPb 6r SFY 2021-22
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By
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Deputy Clerk