Agenda 09/25/2018 Item #16D1409/25/2018
EXECUTIVE SUMMARY
Recommendation to approve an agreement in the amount of $605,978 with the Agency for Health
Care Administration (AHCA), approve an agreement with Collier Health Services, Inc. (CHSI),
and authorize necessary budget amendments to participate in the Medicaid Low Income Pool (LIP)
Program, generating $682,755 in federal matching funds that will provide additional health services
for the citizens of Collier County.
OBJECTIVE: To provide additional health services to the low-income citizens of Collier County.
CONSIDERATIONS: AHCA is a State entity that provides Medicaid services in Florida and operates
the LIP Program. The LIP Program leverages local funds to obtain federal matching dollars. The County's
participation in the LIP Program is outlined in the contractual arrangement between Collier County and
AHCA, which is presented as part of this Item.
CHSI desires and is qualified to administer the LIP Program with AHCA using County ad valorem tax
dollars. The allocation of County and matching funds is as follows:
Collier County Budgeted
Funds for Medical Assistance
Federal Matching Funds Provided
to CHSI as Program
Administrator
Total Funds Benefiting
Low-Income Persons
$605,978 $682,755 $1,288,733
CHSI will utilize the total funds under the LIP Program to provide additional healthcare services for low-
income individuals in Collier County. An agreement that outlines the contractual arrangement between
Collier County and CHSI on behalf of Collier Health Services, Inc., is presented as part of this Item.
CHSI will make the following voluntary payments: $125,000 for eligible services managed and approved
by County staff, $380,596 to the David Lawrence Center (DLC), and $64,889 to the National Alliance for
Mental Illness (NAMI) that will under no circumstance be paid out of the Low-Income Pool Funding
received by the Center.
In addition to the agreements with AHCA and CHSI, the County will also have an agreement that is
separate and apart with the DLC. On October 23, 2018, staff will present an agreement with DLC for
Board of County Commissioners consideration.
FISCAL IMPACT: A Budget Amendment in the amount of $111,278 will be transferred from within
Community & Human Services FY19 Client Assistance Budget (001-155930) and FY19 Mental Health
Budget (001-156010) to provide the additional funds needed to transfer the County’s match of $605,978
to the State of Florida Agency for Healthcare Administration by October 31, 2018.
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires majority vote
for approval. - JAB
RECOMMENDATION: To approve and authorize the Chairman to sign the agreement with Collier
Health Services, Inc. and the agreement with AHCA, and authorize the necessary Budget Amendments.
16.D.14
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09/25/2018
Prepared By: Maggie, Lopez, Accounting Supervisor, Community and Human Services Division
ATTACHMENT(S)
1. CHSI Agreement 2018 _stamp (PDF)
2. Low Income Pool Letter of Agreement (PDF)
16.D.14
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09/25/2018
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.D.14
Doc ID: 6716
Item Summary: Recommendation to approve an agreement in the amount of $605,978 with the
Agency for Health Care Administration (AHCA), approve an agreement with Collier Health Services,
Inc. (CHSI), and authorize necessary budget amendments to participate in the Medicaid Low Income Pool
(LIP) Program, generating $682,755 in federal matching funds that will provide additional health services
for the citizens of Collier County.
Meeting Date: 09/25/2018
Prepared by:
Title: Operations Coordinator – Community & Human Services
Name: Wendy Klopf
09/13/2018 10:47 AM
Submitted by:
Title: – Community & Human Services
Name: Cormac Giblin
09/13/2018 10:47 AM
Approved By:
Review:
Public Services Department Joshua Hammond Additional Reviewer Completed 09/14/2018 7:33 AM
Community & Human Services Kristi Sonntag Additional Reviewer Completed 09/17/2018 12:19 PM
Community & Human Services Maggie Lopez Additional Reviewer Completed 09/17/2018 1:27 PM
Public Services Department Todd Henry Level 1 Division Reviewer Completed 09/17/2018 1:48 PM
Grants Erica Robinson Level 2 Grants Review Completed 09/17/2018 1:56 PM
Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 09/17/2018 3:22 PM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 09/17/2018 3:34 PM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 09/17/2018 3:50 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 09/17/2018 4:48 PM
County Attorney's Office Emily Pepin CAO Preview Completed 09/17/2018 5:06 PM
Grants Therese Stanley Additional Reviewer Completed 09/18/2018 11:48 AM
County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 09/18/2018 2:17 PM
Board of County Commissioners MaryJo Brock Meeting Pending 09/25/2018 9:00 AM
16.D.14
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16.D.14.bPacket Pg. 1969Attachment: CHSI Agreement 2018 _stamp (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.bPacket Pg. 1970Attachment: CHSI Agreement 2018 _stamp (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.bPacket Pg. 1971Attachment: CHSI Agreement 2018 _stamp (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.bPacket Pg. 1972Attachment: CHSI Agreement 2018 _stamp (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.bPacket Pg. 1973Attachment: CHSI Agreement 2018 _stamp (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.bPacket Pg. 1974Attachment: CHSI Agreement 2018 _stamp (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.c
Packet Pg. 1975 Attachment: Low Income Pool Letter of Agreement (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.c
Packet Pg. 1976 Attachment: Low Income Pool Letter of Agreement (6716 : LIP Agreement with AHCA & CHSI)
16.D.14.c
Packet Pg. 1977 Attachment: Low Income Pool Letter of Agreement (6716 : LIP Agreement with AHCA & CHSI)
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Packet Pg. 1978 Attachment: Low Income Pool Letter of Agreement (6716 : LIP Agreement with AHCA & CHSI)