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Backup Documents 09/22/2020 Item #16E 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 E 7 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 -1-63 A cA cit?-5 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 VAI6 12)..l4a10 2. BCC Office Board of County 1c Commissioners ; 3 4.34,a° 3. Minutes and Records Clerk of Court's Office YYLU 401g200 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 September 22,2020 Agenda Item Number 16.E. Approved by the BCC Type of Document Resolution and Letter of Agreement with Number of Original 2 Attached ACHA 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 colum i -'. •ver is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature - P OK EGP 2. Does the document need to be sent to another agency for additional signatures? 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 on 09/22/2020 and 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. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the o$ option for Chairman's signature. is line. Crystal K. Kinzel 1 b E Collier County Clerk of the Circuit Court and Comptroller 3315 Tamiami Trail East, Suite 102 Naples, Florida 34112-5324 \Tt,t September 25, 2020 Agency for Health Care Administration Medicaid Program Finance Attn: Madison Pruett 2727 Mahan Drive Building 3, Mail Stop #223 Tallahassee, FL 32308 Re: Public Emergency Medical Transportation Letter of Agreement Transmitted herewith are one (1) certified resolution and one (1) original agreement of the above referenced document, as adopted by the Collier County Board of County Commissioners of Collier County, Florida on Tuesday, September 22, 2020, during Regular Session. Once fully executed, please e-mail a copy of the signed agreement to be kept as part of the Board's Records. (martha.vergara@collierclerk.com) Very truly yours, CRYSTAL K. KINZEL, CLERK Martha Vergara, Deputy Clerk Phone-(239)252-2646 Fax-(239)252-2755 Website-www.CollierClerk.com Email-CollierClerk@collierclerk.corn 16E 7 RESOLUTION NO. 2020- 1 60 RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA,TO AUTHORIZE COLLIER COUNTY EMERGENCY MEDICAL SERVICES TO PARTICIPATE IN INTERGOVERNMENTAL TRANSFERS WITH THE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION AND THE SUPPLEMENTAL PAYMENT PROGRAM FOR MEDICAID MANAGED CARE PATIENTS; AUTHORIZING THE CHAIRMAN TO EXECUTE ALL REQUIRED AGREEMENTS AND DOCUMENTS TO PARTICIPATE IN INTERGOVERNMENTAL TRANSFERS ANI) THE SUPPLEMNTAL PAYMENT PROGRAM FOR MEDICAID MANAGED CARE PATIENTS SUBJECT TO BOARD RATIFICATION. WHEREAS, Collier County provides emergency ambulance transportation services throughout Collier County; and WHEREAS, the State of Florida has created a supplemental payment program for Medicaid managed care patients who are transported to the hospital by public emergency medical transportation providers and has appropriated an additional $54 million for this program; and WHEREAS, Collier County Emergency Medical Services ("EMS") transports more than 1.500 Medicaid managed care patients annually to hospitals and receives approximately $163 per patient for this service; and WHEREAS, by participating in the supplemental payment program for Medicaid managed care patients. EMS can substantially increase its Medicaid managed care patient transport revenue and provide better services to the community. NOW THEREFORE, IT IS RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA,that: 1. Authorizes EMS to participate in intergovernmental transfers with the State of Florida Agency Health Care Administration and the supplemental payment program for Medicaid managed care patients. 2. Authorizes the Collier County Chairman to execute any and all agreements and documents necessary for EMS to participate in intergovernmental transfers or the Medicaid managed care supplemental payment program subject to ratification by this Board. �o�a 1 16E 7 THIS RESOLUTION ADOPTED on this O�a►o f 4cpA.QA 2020 after motion, second and majority vote favoring adoption. • ATTEST;,; .•• BOARD OF COUNTY COMMISSIONERS CRYS K. KINZEsd Q•IERK COLLIER COUNTY, FLORIDA G.; • c B :� Y• 33 Att@S t0 Ch81i1118ii�.. 1'UT C E K BURT L. SAUNDERS CHAIRMAN signature only. 1;t+ Approved as to form and legalit Jennifer A. Belpedio oa0 Assistant County Attorney `a(6\a CAO 2 16E 7 Public Emergency Medical Transportation Letter of Agreement THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the Ocpy'd day of .2020, by and between Collier County on behalf of Collier County EMS, and the State of lorida, 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. "Public Emergency Medical Transportation (PEMT)," pursuant to the General Appropriation Act, Laws of Florida 2020-111, is the program that provides supplemental payments for eligible Public Emergency Medical Transportation(PEMT)entities that meet specified requirements and provide emergency medical transportation services to Medicaid beneficiaries. A. GENERAL PROVISIONS 1. Per House Bill 5001, the General Appropriations Act of State Fiscal Year 2020-2021, passed by the 2020 Florida Legislature, Collier County and the Agency agree that Collier County will remit IGT funds to the Agency in an amount not to exceed the total of $306,352.16. Collier County and the Agency have agreed that these IGT funds will only be used for the PEMT program. 2. Collier County will return the signed LOA to the Agency. 3. Collier County will pay IGT funds to the Agency in an amount not to exceed the total of $306,352.16. Collier County will transfer payments to the Agency in the following manner: a. Per Florida Statute 409.908, annual payments for the months of July 2020 thru June 2021 are due to the Agency no later than October 31, 2020 unless an alternative plan is specifically approved by the agency. b. The Agency will bill Collier County when payment is due. 4. Collier County 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. Collier County agrees to maintain books, records, and documents (including Collier County_Collier County EMS_PEMT LOA_SFY 2020-21 16E 7 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. Collier County 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. Collier County agrees to comply with public record laws as outlined in section 119.0701, Florida Statutes. b. RETENTION OF RECORDS i. The Collier County 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. Collier County agrees to permit persons duly authorized by the Agency to inspect any records, papers, and documents of the Collier County which are relevant to this LOA. d. ASSIGNMENT AND SUBCONTRACTS i. The Collier County 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 Collier County 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. Collier County 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. Collier County_Collier County EMS_PEMT LOA_SFY 2020-21 16E 7 7 Collier County agrees the following provision shall be included in any agreements between Collier County 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, 2020 through June 30, 2021 and shall be terminated June 30, 2021. 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. PEMT Local Intergovernmental Transfers Program I Amount State Fiscal Year 2019-2020 Minimum Fee Schedule/MCO IGTs $306,352.16 Total Funding ---_ 1 $306,362.16 IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be executed by their undersigned officials as duly authorized. Collier County STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION SIGNED ,4Zeoftwam— SIGNED--e- BY. BY: NAME: Burt L.Saunders NAME: V\ .- .`/ TITLE: Chairman TITLE: .)/P 1 6/>r tweaza.4_ DATE: ct 121.\a0A0 DATE: /D f l 2W ,., �ITEST ;:, Approved as to form and legahly 44 CRY FAL`.K.KtNZEL,CLERK Assii ant County Attu 05)? •:ii' ;.Attest 6p Chaitm �� Collier County_Collier County EMS_PEMT LOA_SFY 2020-21