HomeMy WebLinkAbout2023-199A TRUE COPY
CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
Directed Payment Program Letter of Agreement
THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the
day of 2023, by and between (the "Indian River County LPPF") on behalf of Region
9, 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.
"Directed Payment Program (DPP)," pursuant to the General Appropriation Act, Laws of Florida
2021-156, is the program that provides direct supplemental payments to eligible public and private
entities that provide inpatient and outpatient services to Medicaid managed care recipients.
A. GENERAL PROVISIONS
Per Senate Bill 2500, the General Appropriations Act of State Fiscal Year 2023-2024,
passed by the 2023 Florida Legislature, the Indian River County LPPF and the Agency
agree that the Indian River County LPPF will remit IGT funds to the Agency in an amount
not to exceed the total of $3,005,374.88. The Indian River County LPPF and the Agency
have agreed that these IGT funds will only be used for the DPP program.
2. The Indian River County LPPF will return the signed LOA to the Agency.
3. The Indian River County LPPF will pay IGT funds to the Agency in an amount not to
exceed the total of $3,005,374.88. The Indian River County LPPF will transfer
payments to the Agency in the following manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2023
through June 2024 are due to the Agency no later than October 31, 2023, unless
an alternative plan is specifically approved by the agency.
b. The Agency will bill the Indian River County LPPF when payment is due.
4. The Indian River County LPPF and the Agency agree that the Agency will maintain
necessary records and supporting documentation applicable to health services covered
by this LOA in accordance with public records laws and established retention schedules.
a. AUDITS AND RECORDS
Indian River County LPPF agrees to maintain books, records, and documents
(including electronic storage media) pertinent to performance under this LOA in
Indian River County LPPF_Region 9 _DPP LOA_SFY 2023-
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A TRUE COPY
CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
accordance with generally accepted accounting procedures and practices, which
sufficiently and properly reflect all revenues and expenditures of funds provided.
ii. Indian River County LPPF 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 LPPF agrees to comply with public record laws as outlined in
section 119.0701, Florida Statutes.
b. RETENTION OF RECORDS
The Indian River County LPPF 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 LPPF agrees to permit persons duly authorized by the Agency
to inspect any records, papers, and documents of the Indian River County LPPF
which are relevant to this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
The Indian River County LPPF 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.
The Indian River County LPPF 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 LPPF 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.
Indian River County LPPF_Region 9 _DPP LOA_SFY 2023-
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7. Indian River County LPPF agrees the following provision shall be included in any
agreements between Indian River County LPPF 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, 2023, through June 30, 2024, and shall be
terminated September 30, 2024, which includes the states certified forward period.
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.
DPP Local Intergovernmental Transfers
Program / Amount State Fiscal Year 2023-2024
1 Estimated IGTs $3,005,374.88
Total Funding Not to Exceed $3,005,374.88
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly authorized.
Indian River County LPPF
SIGNED
BY:
NAME: John A. Ti tkan ich
TITLE: County Administrator
DATE: September 12, 2023
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED
BY:
NAME: Thomas Wallace
TITLE: Deputy Secretary, Division of
Medicaid
DATE:
STATE OF FLORIDA
INDIAN RIVER COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT COPY OF THE
ORIGINAL ON FILE IN THIS OFFICE.
RYAN L 13l11fL�E,R, UERK�, ^
U4J BY,
'•.art ceu�M1';,.
9�
DEP TY CL RK
DATE I 3
Indian River County LPPF_Region 9 _DPP LOA_SFY 2023-
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