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Backup Documents 10/23/2012 Item #16D12ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16012 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) ROUTING SLIP Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the exception of the Chairman's signature_ draw a line through routing lines #1 thmnah #4 mmnlete. the rherklict and fnr and to ran Mitrhell (line liQl Route to Addressee(s) List in routing order Office Initials Date 1. Kimberley Grant, Interim Director of Housing, Human, and Veteran's Services KG 10/25/12 2. Jennifer White, Asst. County Attorney County Attorney JBW 10/25/12 3. Kristi Bartlett, Executive Aid to the BCC Board of County Commissioners 4. Minutes and Records Clerk of Court's Office 4(\ ro(2J6(tz Attached PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCC approval. Normally the primary contact is the person who created/prepared the executive summary. Primary contact information is needed in the event one of the addressees above, including Ian Mitchell needs to contact staff for additional or missing information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Bendisa Marku Phone Number 239- 252 -2689 Contact appropriate Initial Applicable) Agenda Date Item was 10/23/12 Agenda Item Number 16.D.12 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document One of each agreement provided by AHCA Number of Original 2 Attached I I Documents Attached INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 08- MGR -00132/33 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not appropriate Initial Applicable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully executed by all parties except the BCC Chairman and Clerk to the Board and possibly State Officials. 2. All handwritten strike - through and revisions have been initialed by the County Attorney's Office and all other parties except the BCC Chairman and the Clerk to the Board 3. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 6. The document was approved by the BCC on 10/23/12 and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 08- MGR -00132/33 16012 EXECUTIVE SUMMARY Recommendation to authorize the Chairman to execute agreements between the County and the Agency for Health Care Administration (AHCA) for any additional eligible funding that may be leveraged under the alternative intergovernmental transfer programs (IGT). Any funds so identified are already budgeted in the FY 2013 approved budget and executed agreements will be brought back to the Board for ratification. OBJECTIVE: To further leverage budgeted funds to augment the IGT arrangement with Physicians Regional Medical Center and Naples Community Hospital (collectively "the Hospitals ") to enhance the quality of care provided to, and the health of, underinsured and uninsured citizens. CONSIDERATIONS: The Agency for Health Care Administration (AHCA) is the State entity that provides Medicaid services in Florida and operates the IGT programs. Through agreements between local government and AHCA, these programs take local funds and uses these funds to obtain Federal matching dollars. At the October 9, 2012 meeting, item 16132, approval was granted to enter into agreements for this upcoming year. Also, in that executive summary, the following was noted: "Since two hospitals are now participating, greater participation in the AHCA programs may be warranted considering the benefit such participation brings to these hospitals and the community. This would require locating additional existing County budgeted funds already designated to fund allowable health services, and including them in the AHCA programs. Should we be able to identify any such funds that could also be reasonably managed under such an arrangement, staff will bring back agreements with AHCA for greater amounts at a future board meeting." Staff has been reviewing options for additional leverage, but final decisions /recommendations are not fully developed as of the writing of this executive summary. One potential option being explored is to leverage the additional $300,000 of funding to be awarded to the David Lawrence Center in support of Baker Act services which was directed by the Board during the final budget hearing. There may be other opportunities such as general fund appropriations already existing in the Human Services budget allocated to persons with incomes at or below the poverty level, and other health related arrangements already in the budget. Staff is committed to locating any reasonably available funding and working with the Hospitals and their consultants to create the most advantageous outcome for all parties. Expanding beyond the historical avenues for identification of funds to leverage in these arrangements takes careful consideration, communication and evaluation of all impacts. There is advantage to all parties to seek additional funds, as the Hospitals can receive the Federal match, and the County's partners can receive a leverage increase /match from the Hospitals on the funding allocated by the County. To illustrate why this is worth pursuing, the approved agreements from 10/23/12 provided for a County leverage of just over $2 Million which, in turn, provided a total match of over $2.8 Million. So, if, for example, staff can locate an additional $300,000 of appropriate expenditures within the existing FY13 budget, then the approximate match (AHCA would perform final match calculations) for that would be another $300,000+ coming back into our community to cover services to these underinsured and un- insured citizens that the Hospitals are required to treat. We have a very short window of opportunity to complete this analysis in order to meet the AHCA statutory deadline of 10/31/12 for execution of agreements for this program year. As of the agenda deadline, the proposed revised agreements with ACHA have not been finalized. Copies of the previously 16D12 approved agreements with ACHA are provided as backup to this agenda item. Staff is requesting the Board to authorize the Chairman to sign the revised agreements in order to submit them to ACHA. The only change from the previously approved agreements will be the increased allocation amount. Finalized agreements will be provided to the Hospitals for their review and acceptance prior to requesting the Chairman's signature. A copy of the newly executed agreements will be provided to the Board at the November 13 meeting for ratification. FISCAL IMPACT: There is no net change to the Fiscal Year 2013 adopted budget as a result of these potential actions. LEGAL CONSIDERATIONS: If this item is approved, AHCA's standard form agreements will be used and almost identical to the agreements with AHCA that were approved by the Board at the October 9, 2012 meeting, Agenda Item 16D2. The notable difference will be the dollar amounts. The two AHCA Agreements are back -up to this item. - JBW GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this executive summary. RECOMMENDATION: Authorize the Chairman to execute revised agreements with AHCA as outlined in the Executive Summary (the only revision proposed is to reflect increased funding amounts). Executed agreements will be brought back to the Board for ratification after the fact at the meeting of November 13, 2012. Prepared by: Bendisa Marku, Accounting Supervisor, Housing, Human and Veteran Services 16 012; OFFICE OF THE CO UNTY A TTORNE Y INTEROFFICE MEMORANDUM TO: Board Minutes and Records FROM: Jennifer B. White, Assistant County Attorney '�� DATE: October 25, 2012 RE: October 23, 2012, Agenda Item 16 D. 12 Please send the two Letters of Agreement that are signed or stamped by the Board Chairman to William Perry and request that one be executed by Phil E. Williams, Assistant Deputy Secretary for Medicaid Finance, and returned to your office for County records. Mr. Perry's contact information is: William D. Perry III. Medical/Health Care Program Analyst Medicaid Program Finance - DSH /LIP 2727 Mahan Dr MS #23 Tallahassee, FL 32308 -5407 850.412 -4131 Work# 850.922 -0461 Fax# Bill.Perry@ahca.myflorida.com Thank you for your assistance. ibos� November 1, 2012 Phil E. Williams, Asst. Deputy Secretary c/o William D. Perry III, Program Analyst Medicaid Program Finance 2727 Mahan Drive MS #23 Tallahassee, FL 32308 -5407 Re: Amendment to Agreement between Collier County and the State of Florida Mr. Perry, Attached for signature are two original Amendments to the Agreement between Collier County and the State of Florida, through AHCA, regarding provisions for Medicaid program funding approved by the Collier County Board of County Commissioners on October 23, 2012. After the agreement (s) have been signed, please return one original to our office, Board Minutes and Records that serves as Clerk to the Board, for the official record. Upon return executed copies will be furnished to all parties involved. I have included a pre- addressed envelope for easier processing. If you have any questions, I can be reached at 239 - 252 -8411. Thank you. DWIGHT E. BROCK, CLERK Teresa Cannon, Deputy Clerk Attachments iboi2 Letter of Agreement THIS LETTER OF AGREEMENT made and entered into in duplicate on the 23rd day of October, 2012, by and between Collier County, (the County) and the State of Florida, through its Agency for Health Care Administration, (the Agency), 1. Per House Bill 5001, the General Appropriations Act of State Fiscal Year 2012 -2013, passed by the 2012 Florida Legislature, the County and the Agency agree that the County will remit to the State an amount not to exceed a grand total of $1,453,770. a. The County and the Agency have agreed that these funds will only be used to increase the provision of Medicaid funded health services to the people of the County and the State of Florida at large. b. The increased provision of Medicaid funded health services will be accomplished through the buyback of the Medicaid inpatient and outpatient trend adjustments up to the actual Medicaid inpatient and outpatient cost but not to exceed the amount specified in the Appropriations Act for public hospitals, including any leased public hospital found to have sovereign immunity, teaching hospitals as defined in section 408.07 (45) or 395.805, Florida Statutes, which have seventy or more full -time equivalent resident physicians, designated trauma hospitals and hospitals not previously included in the GAA. 2. The County will pay the State an amount not to exceed the grand total amount of $1,453,770. The County will transfer payments to the State in the following manner: a. The first quarterly payment of $363,444, for the months of July, August, and September, is due upon notification by the Agency. b. Each successive payment of $363,442 is due as follows, November 30, 2012, March 31, 2013 and June 15, 2013. c. The State will bill the County each quarter payments are due. 3. Timelines: This agreement must be signed and submitted to the Agency no later than October 26, 2012, to be effective for SFY 2012 -2013. 4. The County and the State agree that the State will maintain necessary records and supporting documentation applicable to Medicaid health services covered by this Letter of Agreement. Further, the County and State agree that the County shall have access to these records and the supporting documentation by requesting the same from the State. 5. The County and the State agree that any modifications to this Letter of Agreement shall be in the same form, namely the exchange of signed copies of a revised Letter of Agreement. 6. The County confirms that there are no pre- arranged agreements (contractual or otherwise) between the respective counties, taxing districts, and /or the hospitals to re- direct any portion of these aforementioned Medicaid supplemental payments in order to satisfy non - Medicaid activities. SFY 2012 -13 Buyback LOA Page 1 16D12 7. This Letter of Agreement is contingent upon the State Medicaid Hospital Reimbursement Plan reflecting 2012 -13 legislative appropriations being approved by the federal Centers for Medicare and Medicaid Services. 8. The Agency will reconcile the difference between the amount of the IGTs used by or on behalf of individual hospitals' buybacks of their Medicaid inpatient and outpatient trend adjustments or exemptions from reimbursement limitations for SFY 2011 -12 and an estimate of the actual annualized benefit derived based on actual days and units of service provided. Reconciliation amount may be incorporated into current year (SFY 2012 -13) LOAs. 9. This Letter of Agreement covers the period of July 1, 2012 through June 30, 2013 and shall be terminated June 30, 2013. SFY 2012 -13 Buyback LOA Page 2 16D12 WITNESSETH: IN WITNESS WHEREOF the parties have duly executed this Letter of Agreement on the day and year above first written. Collier County Signature FAP-D W. c0y1- E Name CA A A M-t Title ATTEST; DW E. BROCK. Clerk All"U t ' n to CM IrM a State of Florida Phil E. Williams Assistant Deputy Secretary for Medicaid Finance, Agency for Health Care Administration Approved as to form & legal Suf'Ifcl*ncy As stant County Attorney -SF-NN JF6k e . WH 17e SFY 2012 -13 Buyback LOA Page 3 16D12 Letter of Agreement THIS LETTER OF AGREEMENT made and entered into in duplicate on the q t day of .Q- -, 2012, by and between Collier County, (the County) and the State of Florida, through its Agency for Health Care Administration, (the Agency), 1. Per House Bill 5001, the General Appropriations Act of State Fiscal Year 2012 -2013, passed by the 2012 Florida Legislature, the County and the Agency agree that the County will remit to the State an amount not to exceed a grand total of $967,854. a. The County and the Agency have agreed that these funds will only be used to increase the provision of Medicaid funded health services to the people of the County and the State of Florida at large. b. The increased provision of Medicaid funded health services will be accomplished through the buyback of the Medicaid inpatient and outpatient trend adjustments up to the actual Medicaid inpatient and outpatient cost but not to exceed the amount specified in the Appropriations Act for public hospitals, including any leased public hospital found to have sovereign immunity, teaching hospitals as defined in section 408.07 (45) or 395.805, Florida Statutes, which have seventy or more full -time equivalent resident physicians, designated trauma hospitals and hospitals not previously included in the GAA. 2, The County will pay the State an amount not to exceed the grand total amount of $967,854. The County will transfer payments to the State in the following manner: a. The first quarterly payment of $241,965, for the months of July, August, and September, is due upon notification by the Agency. b. Each successive payment of $241,963 is due as follows, November 30, 2012, March 31, 2013 and June 15, 2013. c. The State will bill the County each quarter payments are due. 3. Timelines: This agreement must be signed and submitted to the Agency no later than October 9, 2012, to be effective for SFY 2012 -2013. 4. The County and the State agree that the State will maintain necessary records and supporting documentation applicable to Medicaid health services covered by this Letter of Agreement. Further, the County and State agree that the County shall have access to these records and the supporting documentation by requesting the same from the State. 5. The County and the State agree that any modifications to this Letter of Agreement shall be in the same form, namely the exchange of signed copies of a revised Letter of Agreement. 6. The County confirms that there are no pre - arranged agreements (contractual or otherwise) between the respective counties, taxing districts, and /or the hospitals to re- direct any portion of these aforementioned Medicaid supplemental payments in order to satisfy non- Medicaid activities. SFY 2012 -13 Buyback LOA Page 1 16D12 7. This Letter of Agreement is contingent upon the State Medicaid Hospital Reimbursement Plan reflecting 2012 -13 legislative appropriations being approved by the federal Centers for Medicare and Medicaid Services. 8. The Agency will reconcile the difference between the amount of the IGTs used by or on behalf of individual hospitals' buybacks of their Medicaid inpatient and outpatient trend adjustments or exemptions from reimbursement limitations for SFY 2011 -12 and an estimate of the actual annualized benefit derived based on actual days and units of service provided. Reconciliation amount may be incorporated into current year (SFY 2012 -13) LOAs. 9. This Letter of Agreement covers the period of July 1, 2012 through June 30, 2013 and shall be terminated June 30, 2013. SFY 2012 -13 Buyback LOA Page 2 16D12 WITNESSETH: IN WITNESS WHEREOF the parties have duty executed this Letter of Agreement on the day and year above first written. Collier County Signature Fe, E- O Name Title ATTEST:. DWIQWT E. BROCK, Clerk gy; ... ALM °a E�atw�'Md� - t. State of Florida Phil E. Williams Assistant Deputy Secretary for Medicaid Finance, Agency for Health Care Administration ApprMod as to form & lapel Sufftlency Asslat nt County Attorney T1 #0 NiFEtz t3. era '!� SFY 2012 -13 Buyback LOA Page 3 16D12 Letter of Agreement THIS LETTER OF AGREEMENT made and entered into in duplicate on the 9 +4% day of 0 c� , 2012, by and between Collier County, (the County) and the State of Florida, through its Agency for Health Care Administration, (the Agency), 1. Per House Bill 5001, the General Appropriations Act of State Fiscal Year 2012- 2013, passed by the 2012 Florida Legislature, the County and the Agency agree that the County will remit to the State an amount not to exceed a grand total of $1,129,630. a. The County and the Agency have agreed that these funds will only be used to increase the provision of Medicaid funded health services to the people of the County and the State of Florida at large. b. The increased provision of Medicaid funded health services will be accomplished through the removal of inpatient and outpatient reimbursement ceilings for public hospitals, or any leased public hospital found to have sovereign immunity, hospitals with graduate medical education positions that do not qualify for the elimination of the inpatient and outpatient ceilings under any section of the General Appropriations Act (GAA), that provide services to Medicaid recipients or hospitals not previously included in the GAA. 2. The County will pay the State an amount not to exceed the grand total amount of $1,129,630. The County will transfer payments to the State in the following manner: a. The first quarterly payment of $282,409, for the months of July, August, and September, is due upon notification by the Agency. b. Each successive payment of $282,407 is due as follows, November 30, 2012, March 31, 2013 and June 15, 2013. c. The State will bill the County each quarter payments are due. 3. Timelines: This agreement must be signed and submitted to the Agency no later than October 9, 2012, to be effective for SFY 2012 -2013. 4. The County and the State agree that the State will maintain necessary records and supporting documentation applicable to Medicaid health services covered by this Letter of Agreement. Further, the County and State agree that the County shall have access to these records and the supporting documentation by requesting the same from the State. 5. The County and the State agree that any modifications to this Letter of Agreement shall be in the same form, namely the exchange of signed copies of a revised Letter of Agreement. 6. The County confirms that there are no pre - arranged agreements (contractual or otherwise) between the respective counties, taxing districts, and/or the hospitals to SFY 2012 -13 Public Exemptions LOA Page I 16012 re- direct any portion of these aforementioned Medicaid supplemental payments in order to satisfy non - Medicaid activities. 7. This Letter of Agreement is contingent upon the State Medicaid Hospital Reimbursement Plan reflecting 2012 -13 legislative appropriations being approved by the federal Centers for Medicare and Medicaid Services. 8. The Agency will reconcile the difference between the amount of the IGTs used by or on behalf of individual hospitals' buybacks of their Medicaid inpatient and outpatient trend adjustments or exemptions from reimbursement limitations for SFY 2011 -12 and an estimate of the actual annualized benefit derived based on actual days and units of service provided. Reconciliation amount may be incorporated into current year (SFY 2012 -13) LOAs. 9. This Letter of Agreement covers the period of July 1, 2012 through June 30, 2013 and shall be terminated June 30, 2013. SFY 2012 -13 Public Exemptions LOA Page 2 16012 WITNESSETH: IN WITNESS WHEREOF the parties have duly executed this Letter of Agreement on the day and year above first written. Collier County "-1U& W. Signature FP, ED -). cay t--,E Name C- V. a.�2 "PtJ Title s' ATTEST;-' D1IVlpHT ;BRbCK. Clark fr g* State of Florida Phil Williams Assistant Deputy Secretary for Medicaid Finance, Agency for Health Care Administration AWWAd Its tO Wm & 109al Suffic;"EY �. Assistant Countv Attorney s� ry -:!� \ Fr-Q s • '--� , : '�-' SFY 2012 -13 Public Exemptions LOA Page 3