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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 Packet Pg. 562 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 Packet Pg. 563