Agenda 07/25/2023 Item #16D 2 (To maintain compliance with Florida Statutes to fully fund the County's obligation of cost share billing for Medicaid)16.D.2
07/25/2023
EXECUTIVE SUMMARY
Recommendation to authorize a Budget Amendment in the amount of $56,694.47 needed within the
Community & Human Services Client Assistance Medicaid Billing to provide for Collier County's increased
Medicaid Cost Share Billing required obligation due for July, August, and September 2023 to the
Department of Revenue, pursuant to F.S. section 409.915 (0001).
OBJECTIVE: To maintain compliance with Florida Statutes section 409.915 to fully fund the County's obligation
of Cost Share Billing for Medicaid.
CONSIDERATIONS: Per Section 409.915, Florida Statutes, the Department of Revenue is responsible for
collecting the County's share of the cost for Medicaid recipients. Although the State is responsible for the full
portion of the state share of the matching funds required for the Medicaid program, the state charges its counties an
annual contribution to acquire a certain portion of these funds.
Collier County's 2022-23 annual contribution due was $3,197,410, with a monthly allocation of $266,450.83. The
County's annual contribution for 2023-24 is $3,735,775, with a monthly payment of $311,314.58. The increase in
monthly payments from $266,450.83 to $311,314.58 in State Fiscal Year 2023 creates a budgeted shortfall of
$56,694.47 for July, August, and September of 2023. As such, staff is requesting a budget transfer of $56,694.47 to
cover the increased charges for the final three (3) months of the County's fiscal year. Funding for this request is
available within Community & Human Services (CHS) Division FY23 Community Mental Health & Low -Income
Pool (LIP) Support Cost Center (0001-156010) due to a reduced transfer to the Agency for Healthcare
Administration.
As part of the CHS yearly budget, cost share billing is budgeted with a historic 2-3% increase to account for
County's obligation increase year over year. CHS was notified on May 24, 2023, that the County's obligation had
increased more than 16% year -over -year for the remainder of County FY 2022/23 and for FY 2023/24. Due to this
exponential increase in cost -sharing obligation, it is necessary to transfer funds to cover the shortfall for the last
three (3) months of the County's 2023 FY budget. If the County fails to remit the payment, the Department will
reduce the monthly distribution to the County pursuant to Section 218.61, Florida Statutes (Half Cent), and if
necessary, the distribution to the County pursuant to Section 218.26, Florida Statutes (Revenue Sharing).
FISCAL IMPACT: A Budget Amendment is required to transfer funding in the amount of $56,694.47 within
Community & Human Services FY23 budget from Community Mental Health & LIP Support Cost Center (0001-
156010) to Client Assistance Medicaid County Billing Cost Center (0001-155930). The funding sources identified
are of similar nature and intent.
LEGAL CONSIDERATIONS: This item requires a majority vote for Board approval. -DDP
GROWTH MANAGEMENT IMPACT: This transfer request has no Growth Management impact.
RECOMMENDATION: To authorize a Budget Amendment in the amount of $56,694.47 within Community &
Human Services Client Assistance Medicaid Billing to provide for Collier County's increased Medicaid Cost Share
Billing obligation due for July, August, and September 2023 to the Department of Revenue, pursuant to F.S. section
409.915.
Prepared By: Kim Frazier, Fiscal Operations Manager, Community and Human Services Division
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16.D.2
07/25/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.13.2
Doc ID: 25938
Item Summary: Recommendation to authorize a Budget Amendment in the amount of $56,694.47 needed within
the Community & Human Services Client Assistance Medicaid Billing to provide for Collier County's increased
Medicaid Cost Share Billing required obligation due for July, August, and September 2023 to the Department of
Revenue, pursuant to F.S. section 409.915 (0001).
Meeting Date: 07/25/2023
Prepared by:
Title: — Community & Human Services
Name: Kim Frazier
06/22/2023 5:53 PM
Submitted by:
Title: Manager - Federal/State Grants Operation — Community & Human Services
Name: Kristi Sonntag
06/22/2023 5:53 PM
Approved By:
Review:
Community & Human Services
Kristi Sonntag
CHS Review
Operations & Veteran Services
Jeff Weir
OVS Director Review
Public Services Department
Todd Henry
PSD Level 1 Reviewer
County Attorney's Office
Derek D. Perry
Level 2 Attorney Review
Grants
Erica Robinson
Level 2 Grants Review
Public Services Department
Tanya Williams
PSD Department Head Review
County Attorney's Office
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Office of Management and Budget
Debra Windsor
Level 3 OMB Gatekeeper Review
Grants
Therese Stanley
Additional Reviewer
Office of Management and Budget
Christopher Johnson
Additional Reviewer
County Manager's Office
Geoffrey Willig
Level 4 County Manager Review
Board of County Commissioners
Geoffrey Willig
Meeting Pending
Completed 06/29/2023 3:55 PM
Completed 06/30/2023 7:27 AM
Completed 06/30/2023 7:52 AM
Completed 07/13/2023 3:20 PM
Completed 07/14/2023 8:29 AM
Completed 07/17/2023 8:11 AM
Completed 07/17/2023 8:37 AM
Completed 07/17/2023 10:48 AM
Completed 07/17/2023 1:43 PM
Completed 07/17/2023 3:34 PM
Completed 07/18/2023 11:19 AM
07/25/2023 9:00 AM
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