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Backup Documents 07/14/2020 Item #16E 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 E 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 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 County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. County Attorney Office County Attorney Office I i y a0a� 2. BCC Office Board of County Commissioners 7.1-7S ` As 3. Minutes and Records Clerk of Court's Office / 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 Erin Page,Accounting Supervisor Contact Information 239-252-3756 Contact/Department Administrative Services Department / Agenda Date Item was 23,2020' -y//& � �p J Agenda Item Number 16.E.1 Approved by the BCC Type of Document Seven(7)Agreements with MCO's t Number of Original 7 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 signatur. STAMP OK EGP 2. Does the document need to be sent to another agency for adds . :•- - - . If yes, EGP 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 EGP 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 EGP 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 EGP document or the fmal negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's EGP signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip EGP 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 otr96I3f292ttand all changes made during EGP N/A is not the meeting have been incorporated in the attached document. The County an option for Attorney's Office has reviewed the changes,if applicable. mil/`'i Oa'� this line. 9. Initials of attorney verifying that the attached document is the version approved by the E --N/A is not BCC, all changes directed by the BCC have been made,and the document is ready for the r,"( an option for Chairman's signature. � this line. 16E1 Ann P. Jennejohn From: PageErin <Erin.Page@colliercountyfl.gov> Sent: Monday, August 17, 2020 12:35 PM To: Ann P.Jennejohn Subject: RE: Item #16E1 (July 14, 2020 BCC Meeting) Hi Ann, I still do not have the one agreement back signed yet. I have followed up with the provider a few times and she says she will send as soon as it is executed. Erin Page, MPA Accounting Supervisor t Co ter County carats Please Take Our Survey Below 1 :: :■JT■% 54%111-Le • 7�L •. 7 r�4 • �y r . _:r _11,4_ ' .7 ri • Emergency Medical Services Exceeding Expectations,Every Day NOTE:Email Address Has Changed Erin.Page@CollierCountyFL.gov 8075 Lely Cultural Parkway, Suite 267, Naples, FL 34113 Phone: 239-252-3756 Fax: 239-252-3298 1 I E1 Ann P. Jennejohn From: PageErin <Erin.Page@colliercountyfl.gov> Sent: Thursday, August 20, 2020 8:45 AM To: Ann P.Jennejohn Subject: RE: Item #16E1 (July 14, 2020 BCC Meeting) Good morning, I am having all the providers who signed those letters request them back. The one provider still has not sent theirs back yet. Are you able to send me the ones that you do have signed and then once I get the missing one I can send that to you? Just seeing if that is an option or not. Thank you, Erin Page, MPA Accounting Supervisor COIL" Cou. .ty I^ r. camts Please Take Our Survey Below O jç.. r4.1 . 0 .��.ti • • riri .11 r II _ - . • • h • Emergency Medical Services Exceeding Expectations,Every Day NOTE:Email Address Has Changed Erin.Paae@CollierCountyFL.Qov 8075 Lely Cultural Parkway, Suite 267, Naples, FL 34113 Phone: 239-252-3756 Fax: 239-252-3298 1 PROUDLY SERINO zv Under Florida Law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public records request.do not send electronic mail to this entity.Instead,contact this office by telephone or in writing. From:Ann P.Jennejohn <Ann.Jennejohn@collierclerk.com> Sent:Tuesday,July 28, 2020 8:44 AM To: PageErin <Erin.Page@colliercountyfl.gov> Subject: Item #16E1 (July 14, 2020 BCC Meeting) EXTERNAL EMAIL:This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Hi agaiv>. Erivt, Attached is the "Letter of Agreement" that vteeds the e(ectrovtic signature. Thank you for your help, Ann Jenne,john 13MR Sevtior Deputy Clerk Clerk to the Value Adjustment Hoard +. Office: 239-252-8406 Fax: 239-252-8408 (if applicable) Avtvt.Jevtvtesjohvt@Co((ierC(erk.cowt Office of the Clerk of the Circuit Court rYf�fk`aK�sr'�'` e & Comptroller of Collier Couvtty 3299 Taw►iawti Trail, Suite #4O1 Naples, FL 34112-5324 www.Co1(ierC(erk.covvt 2 1 .6E1 Ann P. Jennejohn From: Ann P.Jennejohn Sent: Thursday, August 20, 2020 8:58 AM To: PageErin Subject: Item #16E1 (July 14, 2020 BCC Meeting) Attachments: Item #16E1 (July 14, 2020 BCC Meeting).pdf Hi Erin, Six (6) of the Seven (7) Letters of Agreement regarding the Medicaid MCO's are attached. When you receive the seventh (signed) agreement please forward a copy to wte, so we have it for the r3oard's Official Record. Thank you! Ann Jenne,jotin r3MR Senior Deputy Clerk ` 4, t car kr t Clerk to the Value Adjustment Board �.� `-,f Office: 239-252-8406 Fax: 239-252-8408 (if applicable) Ann.Jenn&kn@CollierClerk.com Office of the Clerk of the Circuit Court & Comptroller of Collier County 3299 Tawtiawti Trail, Suite #401 Naples, FL 34112-5324 www.CollierClerk.cowt i I6E1 Ann P. Jennejohn From: PageErin <Erin.Page@colliercountyfl.gov> Sent: Thursday, August 20, 2020 9:01 AM To: Ann P.Jennejohn Subject: RE: Item #16E1 (July 14, 2020 BCC Meeting) Thank you so much. I will send it as soon as I get it. I keep emailing them weekly. Erin Page, MPA Accounting Supervisor Cotter County rcamts Please Take Our Survey Below ::11. ■ 0 ji;: . is. ■ �Li1 • • ■ L • .1 r . r r# •�' IN • p1" .*E! !. Emergency Medical Services Exceeding Expectations,Every Day NOTE:Email Address Has Changed Erin.Paae@CollierCountyFL.aov 8075 Lely Cultural Parkway, Suite 267, Naples, FL 34113 Phone: 239-252-3756 Fax: 239-252-3298 1 I EI Letter of Agreement • This Letter of Agreement ("LOA") is made and entered into on the 1st of May, 2020 by and between Collier County EMS(Government Owned Emergency Medical Service (EMS) Provider) and WellCare of Florida,Inc. d/b/a Stayvvell, a managed care organization operating the Statewide Medicaid Managed Care plan and the Children's Medical Services plan (Medicaid Managed Care Organization (MCO))(herein referred to collectively as"Parties"). WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA)to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the"Waiver") in Region 8 ,which includes Charlotte, Collier,Desoto,Glades,Hendry,Lee and Sarasota County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis, when the transport and treatment is appropriate; and 4 i WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438,6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO. NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: 1, Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate. � t 2. Medicaid MCO shall receive per member per month section 438.6 directed payments for care and 1 treatment provided by the Government Owned EMS Provider, which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements. 3. Contact information for the parties is as follows: Name: Tabatha Butcher Name:Janette White Title: Chief EMS Title: Sr. Manager Phone:239-252-3780 Phone: 813-532-7332 °a Email Tabatha.Butcher@colliercountyfl.gov Email: Janette.white@wellcare.com z • 4. The Parties agree any modification to the LOA shall be in the same form, namely the • exchange of signed copies of a revised LOA. 5, This LOA covers the period of October 1, 2019 through June 30, 2024 unless terminated i s sooner by the termination of section 438,6 directed payments. AA � 1 CAA FL ► f f F ' 1, I 2 16E1 IN WITNESS WHEREOF, the Parties have duly executed this LOA on the day and year above first written, Each party represents that: (i) it has the authority to enter into this Agreement; and (ii) that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L. Saunders, Chairman NA TITLE 0 . AU RIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL 1 7/14/2020 DATE MEDICAID MANAGED CARE ORGANIZATION Mark J. Fehring, VP Field Network Management NAME&TITLE OF AUTHORIZED INDIVIDUAL 7 = SIGNATUI OF AUTHORIZED INDIVIDUAL 6-23-2020 DATE A� r. yr l : «�,^MATT ST , Approved as to form and legality V.:0-ity IAL I .KINZEL,CLERK \ 2 1 13 �• Assistant County Atto a0 • �.il • %': fa,'-\. 6 1 Attest as to C airman's, ta signature only. item# ii_Lefa Agenda 1.4-{ X Date Date ."1'1'1' ' Rec'd Deputy Clerk , 16E1 Letter of Agreement This Letter of Agreement ("LOA") is made and entered into on the 1st day of May,2020 by and between Collier County Emergency Medical Services (Government Owned Emergency Medical Service(EMS)Provider)and Best Care Assurance,LLC d/b/a Vivida Health (Medicaid Managed Care Organization (MCO))(herein referred to collectively as"Parties"), WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region _8_, which includes Charlotte, Collier, Desoto, Glades, Hendry, Lee and Sarasota County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis, when the transport and treatment is appropriate; and WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section • 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO. NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: 1, Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate, 2, Medicaid MCO shall receive per member per month section 438,6 directed payments for care and treatment provided by the Government Owned EMS Provider,which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements. 3, Contact information for the parties is as follows: s z Name:Tabatha Butcher Name:TRACY HOLTREY Title: Chief EMS Title:SENIOR SPECIALIST,NETWORK DEVELOPMENT Phone:239-252-3780 Phone:239-343-1998 Email: Tabatha.Butcher r,JCollierCountyFl.gov Email: • THOLTREY©V1 VDAHEALTH.COM I � I 16E1 4. The Parties agree any modification to the LOA shall be in the same form, namely the exchange of signed copies of a revised LOA. 5. This LOA covers the period of October 1, 2019 through June 30, 2024 unless terminated sooner by the termination of section 438,6 directed payments. IN WITNESS WHEREOF, the Parties have duly executed this LOA on the day and year above first written. Each party represents that: (i) it has the authority to enter into this Agreement; and (ii)that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L. Saunders, Chairman NAM ITLE OF AUT RIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL 7/14/2020 DATE MEDICAID MANAGED CARE ORGANIZATION Kevin E. Dotson, FSA, MAAA Vice President,Actuarial Services NAME&TITLE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL 6/23/2020 DATE ij i a ` ATTEST''. Approved as to form and legality CRYST. .I 1 ZEL,CLERIC B�'` ;x a ._ �- 0� Assistant County Attu z \ cP Attest ncM-44E3C.-- n's ` ' t.0\ signature only: 16E1 Letter of Agreement This Letter of Agreement ("LOA") is made and entered into on the 1st of May, 2020 by and between Collier County EMS (Government Owned Emergency Medical Service (EMS) Provider) and Sunshine State Health Plan, Inc., a managed care organization operating the Statewide Medicaid Managed Care plan and if applicable, the Children's Medical Services plan (Medicaid Managed Care Organization (MCO)) (herein referred to collectively as"Parties"). • • WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region 8, which includes Charlotte, Collier, Desoto, Glades, Hendry,Lee and Sarasota County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis, when the transport and treatment is appropriate; and WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO, NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: 1. Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate. 2. Medicaid MCO shall receive per member per month section 438.6 directed payments for care and treatment provided by the Government Owned EMS Provider, which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements. 3. Contact information for the parties is as follows: Name: Tabatha Butcher To Health Plan at: Title: Chief of EMS Attn: President/CEO Phone: 239-252.3780 Sunshine State Health Plan, Inc. 1301 International Parkway,4th floor Email: Tabatha.Butcher(colliercountyfl.gov Sunrise, FL 33323 • 4, The Parties agree any modification to the LOA shall be in the same form,namely the exchange of • signed copies of a revised LOA. • oH • { I6E1 5. This LOA covers the period of October 1, 2019 through June 30, 2024 unless terminated sooner by the termination of section 438,E directed payments. IN WITNESS WHEREOF, the Parties have duly executed this LOA on the day and year above first written, Each party represents that: (i) it has the authority to enter into this Agreement; and (ii) that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L. Saunders, Chairman NAME TLE OF UTH IZED INDIVIDUAL • GG)1.+0— SIGNATURE OF AUTHORIZED INDIVIDUAL 7/14/2020 DATE MEDICAID MANAGED CARE ORGANIZATION Elizabeth M. Miller, President/CEO NAME&TITLE OF AUTI-IORIZED INDIVIDUAL SIGNATUR OF AUTHORIZED INDIVIDUAL 06/23/2020 DATE . £a•A" Approved as to form and legality city TAL K.KINZEL,CLERK {� 'U'�'t" C- Assistant County Atturu' �-a iF ,4tte*asto Cha an s F .' ;sgnature only. C 16E1 Letter of Agreement This Letter of Agreement ("LOA") is made and entered into on the 1st of May, 2020 by and between Collier County EMS (Government Owned Emergency Medical Service (EMS) Provider) and Molina Healthcare of Florida (Medicaid Managed Care Organization (MCO) (herein referred to collectively as"Parties"), WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region 8 , which includes Charlotte, Collier, Desoto, Glades, Hendry, Lee and Sarasota County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis,when the transport and treatment is appropriate; and WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid • eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO, NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: 1, Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate. 2, Medicaid MCO shall receive per member per month section 438.6 directed payments for • care and treatment provided by the Government Owned EMS Provider,which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements. If 3. Contact information for the parties is as follows: Name:Tabatha Butcher Name: Carol Andrews Title: Chief EMS Title: Contract Manager Phone: 239-252-3780 Phone: (813)394-6750 Tabatha.Butchercolliercountyfl.gov Carol.Andrews(aMolinahealthcare,com a lI5 [k 1 j` r 16E1 4. The Parties agree any modification to the LOA shall be in the same form, namely the exchange of signed copies of a revised LOA, 5, This LOA covers the period of October 1,2019 through June 30,2024 unless terminated sooner by the termination of section 438,6 directed payments. IN WITNESS WHEREOF, the Parties have duly executed this LOA on the day and year above first written. Each party represents that: (i) it has the authority to enter into this Agreement; and (ii) that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L, S enders, Chairman NAM TITLE AUT RIZED DIVIDUAL • SIGNATURE OF AUTHORIZED INDIVIDUAL 7/14/2020 DATE MEDICAID MANAGED CARE ORGANIZATION Gregory Lipson,VP Network Management NAME&TITLE OF AUTHORIZED INDIVIDUAL ?Ley Lziocte,./2- SIGNATURE OF AUTHORIZED INDIVIDUAL 06/25/20 DATE ATTEST Approved as to form and legality CRYSTAL K.,IUNZEL,CLERK n © 0 g}, 7 A5. stout County Attui c �� t1J Attest as-to airman's Signature only0 e r 16E1 Public Emergency Medical Transportation Uniform Increase Agreement This Public Emergency Medical Transportation Uniform Increase Agreement ("PEMTUTA") is made and entered into on the 1st day of May, 2020 by and between Collier County EMS(Government Owned Emergency Medical Service (EMS) Provider) and Humana Medical Plan, Inc. (Medicaid Managed Care Organization (MCO)) (herein referred to collectively as "Parties"). WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region 8, which includes Collier County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis, when the transport and treatment is appropriate; and WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO. NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: 1. Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate. 2. Medicaid MCO shall receive per member per month section 438.6 directed payments for care and treatment provided by the Government Owned EMS Provider,which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements. 3. Contact information for the parties is as follows: Name: Tabatha Butcher Name: Ann Jamke Title: Chief EMS Title: Director Provider Contracting Phone: 239-252-3780 Phone: (904) 316-8899 Email: Tabatha.Butcher@CollierCountyFL.gov Email ajamke@humana.com t6E1 4. The Parties agree any modification to the Public Emergency Medical Transportation Uniform increase agreement shall be in the same form, namely the exchange of signed copies of a revised Public Emergency Medical Transportation Uniform Increase Agreement. 5. This Public Emergency Medical Transportation Uniform Increase Agreement covers the period of October 1, 2019 through June 30, 2024 unless terminated sooner by the termination of section 438.6 directed payments. IN WITNESS WHEREOF, the Parties have duly executed this Public Emergency Medical Transportation Uniform Increase Agreement on the day and year above first written. Each party represents that: (i) it has the authority to enter into this Agreement; and (ii) that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L. Saunders, Chairman NAME& TLE OF AUT ZED INDIVIDUAL • SIGNATURE OF AUTHORIZED INDIVIDUAL DATE MEDICAID MANAGED CARE ORGANIZATION Ann Jamke,Director Provider Contracting NAME&TITLE OF AUTHORIZED INDIVIDUAL SIGNATURE AUTHORIZED INDIVIDUAL 05/12/2020 DATE AS.• {!`I I • ('.1 ST t .x NZE:1 , CLERK C 04_ . t as-to Ch 1 an' 7 Ei Letter of Agreement This Letter of Agreement ("LOA") is made and entered into on the l st clay of May, 2020 by and between Collier County EMS (Government Owned Emergency Medical Service (EMS) Provider) and Florida Community Care, LLC (Medicaid Managed Care Organization (MCO) (herein referred to collectively as "Parties"). WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region 8 , which includes Charlotte, Collier, Desoto, Glades, Hendry, Lee and Sarasota County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis, when the transport and treatment is appropriate;and WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO. NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: I. Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis when the transport and treatment is appropriate. 2. Medicaid MCO shall receive per member per month section 438.6 directed payments for care and treatment provided by the Government Owned EMS Provider,which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements, 3. Contact information for the parties is as follows: Name: Eric Tatum Name: Tabatha Butcher Title: Director of Provider Services Title: Chief EMS Phone: (786)778-6825 Phone; 239-252-3780 E-mail: etatum(cr)fcchealthplan.com E-mail: tabatha,butcher@colliercountytl.gov Pnge 1 of2 I6E1 The Parties agree any modification to the LOA shall be in the same form,namely the exchange of signed copies of a revised LOA. 4. This LOA covers the period of October 1, 2019 through June 30, 2024 unless terminated sooner by the termination of section 438.6 directed payments. IN WITNESS WHEREOF, the Parties have duty executed this LOA on the day and year above first written. Each party represents that: (i) it has the authority to enter into this Agreement; and (ii) that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER 1 Burt L. Saunders, Chairman NAME ,' LE OF AUTHO ZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL 7/14/2020 DATE MEDICAID MANAGED CARE ORGANIZATION Nestor Plana, Chief Executive Officer NAME&TI - OF AUTHORIZED INDIVIDUAL SIG ATU E F A - ND AL (//d-4120.1e, DATE ATTEST CRY:S AL I(.ICINZEL,CLERK '' Approved as to form and legality. As! taat County Attoru, ' Attu as to irman s c ,, signature only. .,, rnac 2 of 2 J I E1 Letter of Agreement This Letter of Agreement("LOA") is made and entered into on the 191 day of May, 2020 by and between Collier County EMS (Government Owned Emergency Medical Service (EMS) Provider)and SIMPLY HEALTHCARE PLANS,INC.DBA CLEAR HEALTH ALLIANCE (Medicaid Managed Care Organization(MCO))(herein referred to collectively as "Parties"). WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AHCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region 8 which includes Charlotte, Collier, Desoto, Glades, Hendry, Lee and Sarasota County where Government Owned EMS Provider is located and/or operates; WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis,when the transport and treatment is appropriate;and • WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO. NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: 1. Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate. 2. Medicaid MCO shall receive per member per month section 438.6 directed payments for care and treatment provided by the Government Owned EMS Provider,which the Medicaid • MCO shall timely remit to the Government Owned EMS Provider in accordance with • AHCA's contractual requirements. 3. Contact information for the parties is as follows: Name:Tabatha Butcher Name: Barbara Morales Title: Chief EMS Title: Provider Network Manager Phone:239-252-3780 Phone: 950-405-6136 Email: Email: Tabatha.Butcher@CollierCountyFL.gov bmorales@simplyhealthcareplans.com 16E1 4, The Parties agree any modification to the LOA shall be in the same form, namely the exchange of signed copies of a revised LOA, 5. This LOA covers the period of October 1, 2019 through June 30, 2024 unless terminated sooner by the termination of section 438.6 directed payments. IN WITNESS WHEREOF, the Parties have duly executed this LOA on the day and year above first written. Each party represents that: (i) it has the authority to enter into this Agreement; and (ii) that the individual signing this Agreement on its behalf is authorized to do so, GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L. Saunders, Chairman NAME ITLE OF UT IZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL 7/14/2020 DATE • MEDICAID MANAGED CARE ORGANIZATION NAME&TITLE OF AUTHORIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL DATE A I fiST loved as to form and kgality r�: y,qi�.,�tS7'Af;IC.IUNZEL,CLERIC Approved � � • ' Vik Ash uut County Mutt „�O ' attest as t Chai n's. V ,� 'S .�` signature only. • 42) 16E1 Ann P. Jennejohn From: PageErin <Erin.Page@colliercountyfl.gov> Sent: Friday, August 21, 2020 8:50 AM To: Ann P.Jennejohn Subject: RE: Item #16E1 (July 14, 2020 BCC Meeting) Attachments: Simply Health Care Executed LOA.pdf Good morning, Please see the attached. I just received it this am. Thank you for your help, Erin Page, MPA Accounting Supervisor Co Ter County WCaMtS Please Take Our Survey Below El I r■ ■JT.� • r - . • Emergency Medical Services Exceeding Expectations,Every Day NOTE:Email Address Has Changed Erin.Page@CollierCoun}vFL.gov 8075 Lely Cultural Parkway, Suite 267, Naples, FL 34113 Phone: 239-252-3756 Fax: 239-252-3298 1 1 6 E Letter of Agreement This Letter of Agreement ("LOA") is made and entered into on the 1" day of May, 2020 by and between Collier County EMS (Government Owned Emergency Medical Service (EMS) Provider)and SIMPLY HEALTHCARE PLANS,INC.DBA CLEAR HEALTH ALLIANCE (Medicaid Managed Care Organization(MCO))(herein referred to collectively as"Parties"). WHEREAS, the Medicaid MCO has been awarded a contract by the Agency for Health Care Administration (AI-lCA) to deliver managed care services to Medicaid enrollees under an 1115 Managed Medical Assistance Waiver (the "Waiver") in Region 8 , which includes Charlotte, Collier, Desoto, Glades, Hendry, Lee and Sarasota County where Government • Owned EMS Provider is located and/or operates; • WHEREAS, AHCA has approved the Government Owned EMS Provider as a qualifying entity and provides out of network emergency medical services to MCO enrollees in Region 8 on an as needed basis,when the transport and treatment is appropriate;and WHEREAS, the Centers for Medicare and Medicaid Services ("CMS") approved section 438.6 directed payments based on the establishment of a uniform increase to be paid to qualifying Government Owned EMS Providers for the provision of emergency medical services to Medicaid eligible persons enrolled in managed care organizations pursuant to the Waiver, which includes the Medicaid MCO. NOW THEREFORE, Government Owned EMS Provider and the Medicaid MCO do hereby agree to the following: I, Government Owned EMS Provider agrees to make emergency medical services available to MCO's Medicaid enrollees on an as needed basis, when the transport and treatment is appropriate. 2. Medicaid MCO shall receive per member per month section 438.6 directed payments for care and treatment provided by the Government Owned EMS Provider,which the Medicaid MCO shall timely remit to the Government Owned EMS Provider in accordance with AHCA's contractual requirements. 3. Contact information for the parties is as follows: Name:Tabatha Butcher Name: Barbara Morales Title: Chief EMS Title: Provider Network Manager Phone: 239-252-3780 Phone: 954-405-6136 Email: Email: Tabatha.Butcher@CollierCountyFL.gov bmorales@simplyhealthcareplans.com , 16E1 4. The Parties agree any modification to the LOA shall be in the same form, namely the exchange of signed copies of a revised LOA, 5. This LOA covers the period of October 1, 2019 through June 30, 2024 unless terminated sooner by the termination of section 438.6 directed payments. IN WITNESS WHEREOF, the Parties have duly executed this LOA on the day and year above first written. Each party represents that: (i) it has the authority to enter into this Agreement; and (ii)that the individual signing this Agreement on its behalf is authorized to do so. GOVERNMENT OWNED EMERGENCY MEDICAL SERVICES PROVIDER Burt L. Saunders, Chairman NAME ITLE OF UTWZIZED INDIVIDUAL SIGNATURE OF AUTHORIZED INDIVIDUAL 7/14/2020 DATE MEDICAID MANAGED CARE ORGANIZATION Gustavo Leon, RVP II Provider Solutions SIGNATURE OF AUTHORIZED INDIVIDUAL 8/20/2020 DATE • ,.A�T6ST, crApproved as to form and legality alit ,•� ,,•v ,f�-1'STAt,K.iCINZEL,CLERK nn• L� Y : t • 44 �� 4 Ass stunt County Mor c (3_ 1�oo y 'ttest as Cha• i n's as /A signature only. 62- 0