HomeMy WebLinkAbout2024-243A 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 2024, by and between Indian River County LPPF (the "IGT Provider") 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
2024-231, 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 House Bill 5001, the General Appropriations Act of State Fiscal Year 2024-2025,
passed by the 2024 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 $3,476,012.00. 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 $3,476,012.00. 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 2024
through June 2025 are due to the Agency no later than October 31, 2024, 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
i. Indian River County LPPF agrees to maintain books, records, and documents
Indian River County LPPF _Region 9_DPP LOA_SFY 2024-25
A TRUE COPY
CERTIFICATION ON LAST PAGE
RYAN L. BUTLER, CLERK
(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 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.
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 2024-25
STATE OF FLORIDA
INDIAN RIVER COUNTY
THIS IS39 CERTIFY�THLAT TbN6 iS TRUE AND CORRECT
COPY E ORI f IN 7H OFFICE
n. k CLERK i 1
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, 2024, through June 30, 2025, and shall be
terminated September 30, 2025, 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 2024-2025
Estimated IGTs $3,476,012.00
Total Funding Not to Exceed $3,476,012.00
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 "�pn�Mig
SIGN
BY:
NAME: usan Adams
TITLE:✓ER co
Chairman
DATE: September 24, 2024
Attest: Ryan L. Butler, Clerk of
Circuit Court and Comptroller
By:
�cIty clerk`
OF FLORIDA, AGENCY FOR
I CARE ADMINISTRATION
off=
N Tom Wallace
71ITLE: Deputy Secretary for Health Care
Finance and Data
DATE:
Indian River County LPPF _Region 9_DPP LOA_SFY 2024-25