Backup Documents 04/28/2020 Item #16D14ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16014
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines # 1 through #2 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 through #2, complete the checklist, and forward to the Countv Attomev Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Jennifer Belpedio
County Attorney Office
1 S I a
2. BCC Office
Board of County
Commissioners
5 b
v•1�•C;k
3.Minutes and Records
Clerk of Court's Office
to]
J
PRIMARY CONTACT INFORMATION
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, may need to contact staff for additional or missing information.
Name of Primary Staff
Louise Pelletier
Phone Number
239-252-2696
Contact / Department
Agenda Date Item was
04/28/2020
Agenda Item Number
16.D.14
Approved by the BCC
Type of Document
Resolution
Number of Original
1
Attached
Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
Initial)
Applicable)
1.
Does the document require the chairman's original signature?zs
LP
2.
Does the document need to be sent to another agency for additional signatures? I yes,
N/A
provide the Contact Information(Name; Agency; Address; Phone on an attached sheet.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
LP
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4.
All handwritten strike -through and revisions have been initialed by the County Attorney's
LP
Office and all other parties except the BCC Chairman and the Clerk to the Board
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
LP
document or the final negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
LP
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
LP
should be provided to the County Attorney Office at the time the item is input into SIRE.
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!
8.
The document was approved by the BCC on 04/28/20 and all changes made during
LP
the meeting have been incorporated in the attached document. The County
Attorne 's Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by the
LP
is
BCC, all changes directed by the BCC have been made, and the document is ready for the�U_���j
Chairman's signature.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12
Ann P. Jennejohn
From: Ann P. Jennejohn
Sent: Wednesday, June 17, 2020 11:53 AM
To: PelletierLouise
Subject: Resolution 2020-68
Attachments: Resolution 2020-068.pdf
Good Morning Louise,
A copy of Resolution 2020-68, adopted by the
BCC April 28, 2020, is attached for your records.
Thank you!
Ann JenneJoAn
13MR Senior Deputy Clerk
Clerk to the Value Adjustment Board
Office: 239-252-8406
Fax: 23q-252-8408 (if applicable)
Ann.Jennejohn@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tamiami Trail, Suite 0401-
Naples, FL 34112-5324
www.CollierClerk.com
i
16014
RESOLUTION NO. 2 0 2 0 — 6 8
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA SUPERSEDING RESOLUTION NO.
2019-29 AND UPDATING THE CO -PAYMENT WAIVER PROCEDURE
FOR SENIORS WHO ARE ENROLLED IN THE COMMUNITY CARE
FOR THE ELDERLY AN THE ALZHEIMER'S DISEASE INITIATION
STATE GRANT ADMINISTERED BY THE COMMUNITY AND HUMAN
SERVICE DIVISION
WHEREAS, The Services for Seniors Program, is the lead case management agency in
Collier County that serves seniors with in -home services.
WHEREAS, The Community and Human Services Division (CHS) provides case
management services to seniors enrolled in two grant programs funded by Area Agency on
Aging of Southwest Florida (AAASWFL), the Community Care for the Elderly (CCE) and the
Alzheimer's Disease Initiative (ADI).
WHEREAS, Sections 430.204(8) and 430.503, Florida Statutes require copayment to be
collected for CCE and ADI services.
WHEREAS, Copayment is collected to offset some of the cost of the services received
by the client.
WHEREAS, the copayment amount is established by the financial worksheet that is
completed between the case manager and the client at the time of intake and annually and is in
accordance with the schedule published annually by the Department of Elder Affairs (DOEA).
WHEREAS, On February 26, 2019, based on guidance from the DOEA the Board of
County Commissioner adopted Resolution No. 2019-29 establishing a process to waive any
outstanding copayments for clients who can no longer pay their outstanding copayment due to
circumstances beyond their control including death, placement in a facility, relocation without a
forwarding address, and when the senior's family refuses to pay the outstanding debt.
WHEREAS, since the adoption of Resolution 'No. 2019-29, DOEA Programs and
Services regulations and policies have changed requiring updating of the case management
services to seniors copayment process.
NOW, THEREFORE, BE IT RESOLVED, BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA that:
`9
1bD14
1. In the event past due copayments cannot be collected or the client is unable to pay an
increase in the annual assessed monthly co -payment, CHS may waive up to the total
amount of the copayment or increased amount based on each client's ability to pay
in accordance with DOEA Programs and Services regulations and policies.
2. Unless waived in accordance with DOEA Programs and Services regulations and
policies, Clients who leave the program are still responsible for the copayments owed,
with the exception of those who die, placed in a facility, relocate without a
forwarding address and families who refuse to pay. In all other cases CHS may
determine what course of action to take to recoup what is owed or to waive the
copayment fee.
3. Collections of accounts receivable will continue to be handled in accordance with
Resolution 2006-252.
4. Resolution 2019-154 is hereby superseded, and this Resolution shall go into effect
immediately upon its passage and adoption.
THIS RESOLUTION ADOPTED after motion; second and majority vote this �day
of l , 2020.
Attest:
CRYSTAL KINZEL, Clerk
By:
'a ' erk •
��`a�iiature
Approve !,es to• FoTkdnd Legality:
�� ih)
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Burt L. Saunders, Chairman
\\,\ (--,K ),� � a°
a�
Jenni . Belpedio, Assi t nt County Attorney � �3N
'o
Date
Date (0�'1.•�
P.eA
n
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