Backup Documents 09/26/2023 Item #16D 7 16 7
Jennifer Hansen
From: Wanda Rodriguez <Wanda.Rodriguez@colliercountyfl.gov>
Sent: Tuesday, August 29, 2023 12:29 PM
To: Minutes and Records
Cc: Jeffrey Newman;Jeffrey Weir
Subject: ad request - Public Notice LPPF 2023 - 9/26/23 BCC
Attachments: Advertising Request form - Public Notice LPPF 2023 jw.pdf; Public Notice LPPF 2023 -
final.docx; 2023 LPPF Resolution - JAK signed.pdf
Follow Up Flag: Follow up
Flag Status: Completed
M&R:
Please process the attached ad request to run in the regular classified section of the NDN on
Wednesday, September 6, 2023, using the provided Public Notice text. This is not a County Attorney
ad, but should be charged to Public Services as noted in the ad request. Please acknowledge receipt
of this request.
Thank you,
'Wanda Rodriguez, .4CP, CPJ11
Office of the County .Attorney
(239) 252-8400
cotT I FI E
9? r "•IDA
f11Y N1�1 �
ACP P���a ;COLLIER
Cc'cccd Public M,c -c
41,
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.
1
0
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.,,,I.1,/,.
COLLIER COUNTY FLORIDA L , r/
REQUEST FOR LEGAL ADVERTISING OF PUBLIC HEARINGS
r, F‘oa,a ,
To: Clerk to the Board: Please place the following as a: (,i
® Normal legal Advertisement ❑ Other:
(Display Adv.,location,etc.)
Originating Dept/Div: Public Services/OVS Person: Jeffrey Newman Date: August 23,2023
252-4027
Petition No.(If none,give brief description): Notice of Hearing—Special Assessment for Specified Hospitals
Petitioner: (Name&Address): n/a
Name&Address of any person(s)to be notified by Clerk's Office:(If more space is needed,attach separate sheet) n/a
Hearing before BCC BZA Other
Requested Hearing date: (Based on advertisement appearing 20+days before hearing.)September 26,2023(ad to run on
Wednesday,September 6,2023)
Newspaper(s)to be used: (Complete only if important):
® Naples Daily News ❑ Other ❑Legally Required
Proposed Text: See Notice of Hearing,attached separately.
Companion petition(s),if any&proposed hearing date: n/a
P.O.to be charged for advertising costs: PO#4500225835/Public Services Administration
Reviewed by: Digitally signed by Jeffrey A.
Jeffrey A.Weir Weir
Date:2023.08.28 12:13:47
Division Administrator or Designee Date
List Attachments: Public Notice,proposed Resolution
DISTRIBUTION INSTRUCTIONS
A. For hearings before BCC or BZA: Initiating person to complete one copy and obtain Division Head approval before
submitting to Clerk's Office for processing. Note: If legal document is involved,be sure that any necessary legal review,
or request for same,is submitted to County Attorney before submitting to Minutes&Records. The Manager's office will
distribute copies:
❑ County Manager agenda file: to ❑Requesting Division ❑Original
Clerk's Office
B. Other hearings: Initiating Division head to approve and submit original to Clerk's Office,retaining a copy for file.
***********************************************************************************************************
FOR CLERK'S OFFICE USE LY
Date Received:X �� 23 Date of Public hearing: q Z 19 (,�J
Date Advertised: 41 b 2-3
16D7
NOTICE OF HEARING REGARDING IMPOSING AND
COLLECTING A NON-AD VALOREM SPECIAL ASSESSMENT
FROM SPECIFIED HOSPITAL PROPERTIES
Notice is hereby given that the Board of County Commissioners of Collier County, Florida, will
conduct a public hearing pursuant to Ordinance No. 2021-23 to consider the approval of the
imposition and collection of a non-ad valorem special assessment against each private for-profit
and not-for-profit hospital that provides inpatient hospital services and that holds a right of
possession and right of use to real property in Collier County (each, an"Assessed Property"). The
list of affected hospitals is included at the conclusion of this notice. The assessment is intended to
finance intergovernmental transfers,provided consistent with federal guidelines,that fund the non-
federal share of certain Medicaid and/or Medicaid managed care payments. As a result, the
assessment directly and specially benefits Assessed Properties and supports the provision of health
care services to Medicaid, indigent, and uninsured members of the County's community.
The public hearing will be held at the Board of County Commissioners chambers at Collier County
Government Center, 3299 Tamiami Trail East, Naples, FL 34112, on September 26, 2023,
commencing at 9:00 a.m.,or as soon thereafter as the matter can be heard. At that time,the Board
will receive public comment on the proposed special assessment.
The Collier County Operations & Veterans Services office has prepared the Non-Ad Valorem
Assessment Roll being considered for approval. The roll contains the names of the Assessed
Properties, the assessment rate, and the amount of the special assessment to be imposed against
each Assessed Property. The Non-Ad Valorem Assessment Roll is available for inspection at the
Collier County Operations & Veterans Services office, located at 3339 Tamiami Trail East, Suite
212,Naples, FL 34112. The assessment rate set forth in the Non-Ad Valorem Assessment Roll to
be levied against the net patient revenue of each Assessed Property is 1.09%.
At the date and time set forth in this notice, the Board of County Commissioners may: (1) approve
the Non-Ad Valorem Assessment Roll, with such amendments as it deems just and right, and
(2) adopt a resolution (the "Assessment Resolution") that describes: (a) the Medicaid payments
proposed for funding from proceeds of the assessment, (b)the benefits to the Assessed Properties,
(c) the methodology for computing the assessed amounts, and (d) the method of collection,
including how and when the assessment is to be paid.
All interested persons have a right to appear at the hearing and to file written objections with the
Board prior to the resolution vote. All objections to the Non-Ad Valorem Assessment Roll being
considered for approval must be made in writing, and filed with the County by September 26,
2023. Written objections should be sent to the attention of the Office of the Assessment
Coordinator at Collier County Operations & Veterans Services, located at 3339 Tamiami Trail
East, Suite 212,Naples, FL 34112.
The amount of the assessment is to be collected pursuant an additional and alternative method, as
specified in § 197.3631, Fla Stat., for the assessment and collection of the non-ad valorem special
assessment. Details will be included in the Assessment Resolution.
16Q7
If you are a person with disability who needs any accommodation to participate in this proceeding,
you are entitled, at no cost to you, to the provision of certain assistance. Please contact the Collier
County Facilities Management Division at (239) 252-8380 at least two days prior to the public
hearing if you need special accommodations.
Pursuant to § 286.0105,Fla Stat., if a person decides to appeal any decision of the Board of County
Commissioners on any matter considered at the public hearing, he or she will need a record of the
proceedings. For such purpose, a person appealing the decision may need to ensure the creation of
a verbatim record, which captures the testimony and evidence upon which the appeal is based.
Collier County, FLORIDA
List of Affected Properties:
The special assessment is to be levied against each private for-profit and not-for-profit hospital
operating under a Florida hospital license affiliated with the following providers of inpatient
hospital services that holds a right of possession and right of use to real property in Collier
County, Florida:
Hospital Name: Physicians Regional Medical Center- Pine Ridge
Hospital Address: 6101 Pine Ridge Rd.,Naples, FL 34119
Parcel ID: 80670080001
Hospital Name: NCH Baker Hospital Downtown
Hospital Address: 350 7th St.N,Naples, FL 34102
Parcel ID: 1403 8880000
Hospital Name: The Willough at Naples
Hospital Address: 9001 Tamiami Trail East,Naples, FL 33862
Parcel ID: 55100120000
1 A n 7
RESOLUTION NO. 2023 -
AN ASSESSMENT RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
AUTHORIZING AND ADOPTING A NON-AD VALOREM
SPECIAL ASSESSMENT WITHIN THE COUNTY LIMITS FOR
THE PURPOSE OF BENEFITING ASSESSED PROPERTIES
THROUGH ENHANCED MEDICAID PAYMENTS FOR LOCAL
SERVICES; FINDING AND DETERMINING THAT CERTAIN
REAL PROPERTY IS SPECIALLY BENEFITED BY THE
ASSESSMENT; COLLECTING THE ASSESSMENT AGAINST
THE REAL PROPERTY; ESTABLISHING A PUBLIC HEARING
TO CONSIDER IMPOSITION OF THE PROPOSED
ASSESSMENT AND THE METHOD OF ITS COLLECTION;
AUTHORIZING AND DIRECTING THE PUBLICATION OF
NOTICES IN CONNECTION THEREWITH; PROVIDING FOR
CERTAIN OTHER AUTHORIZATIONS AND DELEGATIONS
OF AUTHORITY AS NECESSARY; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS,hospitals in Collier County's jurisdiction (the "Hospitals") annually provide
millions of dollars of uncompensated care to uninsured persons and those who qualify for
Medicaid because Medicaid, on average, covers only 60% of the costs of the health care services
actually provided by Hospitals to Medicaid-eligible persons, leaving hospitals with significant
uncompensated costs; and
WHEREAS,Hospitals in Collier County(the"County") support a non-ad valorem special
assessment upon certain real property interests held by the Hospitals to help finance the non-
federal share of the State's Medicaid program; and
WHEREAS, the only real properties interests that will be subject to the non-ad valorem
assessments authorized herein are those belonging to the Hospitals; and
WHEREAS,the County recognizes that one or more of the Hospitals within the County's
boundaries may be located upon real property leased from governmental entities and that such
Hospitals may be assessed because courts do not make distinctions on the application of special
assessments based on"property interests"but rather on the distinction of the classifications of real
property being assessed; and
WHEREAS,the funding raised by the County assessment will,through intergovernmental
transfers ("IGTs") provided consistent with federal guidelines, support additional funding for
Medicaid payments to Hospitals; and
WHEREAS, the County acknowledges that the Hospital properties assessed will benefit
directly and especially from the assessment as a result of the above-described additional funding
provided to said Hospitals; and
[23-GRC-01401/I8I0806/1] ] I Ani
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WHEREAS, the County has determined that a logical relationship exists between the
services provided by the Hospitals,which will be supported by the assessment,and the special and
particular benefit to the real property of the Hospitals; and
WHEREAS, the County has an interest in promoting access to health care for its low-
income and uninsured residents; and
WHEREAS, leveraging additional federal support through the above-described IGTs to
fund Medicaid payments to the Hospitals for health care services directly and specifically benefits
the Hospitals' property interests and supports their continued ability to provide those services; and
WHEREAS, imposing an assessment limited to Hospital properties to help fund the
provision of these services and the achievement of certain quality standards by the Hospitals to
residents of the County is a valid public purpose that benefits the health, safety,and welfare of the
citizens of the County; and
WHEREAS, the assessment ensures the financial stability and viability of the Hospitals
providing such services; and
WHEREAS, the Hospitals are important contributors to the County's economy, and the
financial benefit to these Hospitals directly and specifically supports their mission, as well as their
ability to grow, expand, and maintain their facilities in concert with the population growth in the
jurisdiction of the County; and
WHEREAS, the Board finds the assessment will enhance the Hospitals' ability to grow,
expand, maintain, improve, and increase the value of their Collier County properties and facilities
under all present circumstances and those of the foreseeable future; and
WHEREAS, the County is proposing a properly apportioned assessment by which all
Hospitals will be assessed at a uniform rate that is compliant with 42 C.F.R. § 433.68(d); and
WHEREAS, on June 22, 2021, the Board of County Commissioners adopted Ordinance
2021-23,enabling the County to levy a uniform non-ad valorem special assessment,which is fairly
and reasonably apportioned among the Hospitals' property interests within the County's
jurisdictional limits, to establish and maintain a system of funding for IGTs to support the non-
federal share of Medicaid payments, thus directly and specially benefitting Hospital properties.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA:
Section 1. Definitions. As used in this Resolution, the following capitalized terms, not
otherwise defined herein or in the Ordinance, shall have the meanings below, unless the context
otherwise requires.
[23-GRC-01401/1810806/I l 2
(CA)
I 6 !!
Assessed Property means the real property in the County to which an Institutional Health
Care Provider holds a right of possession and right of use through an ownership or leasehold
interest, thus making the property subject to the Assessment.
Assessment means a non-ad valorem special assessment imposed by the County on
Assessed Property to fund the non-federal share of Medicaid and Medicaid managed care
payments that will benefit hospitals providing Local Services in the County.
Assessment Coordinator means the person appointed to administer the Assessment
imposed pursuant to this Article, or such person's designee.
Board means the Board of County Commissioners of Collier County, Florida.
Comptroller means the Collier County Comptroller, ex officio Clerk to the Board, or other
such person as may be duly authorized to act on such person's behalf.
County means Collier County, Florida.
Fiscal Year means the period commencing on October 1 of each year and continuing
through the next succeeding September 30, or such other period as may be prescribed by law as
the fiscal year for the County.
Institutional Health Care Provider means a private for-profit or not-for-profit hospital that
provides inpatient hospital services.
Local Services means the provision of health care services to Medicaid, indigent, and
uninsured members of the Collier County community.
Non-Ad Valorem Assessment Roll means the special assessment roll prepared by the
County.
Ordinance means the Collier County Local Provider Participation Fund Ordinance No.
2021-23, as codified in Chapter 126, Article VI of the Collier County Code of Ordinances.
Tax Collector means the Collier County Tax Collector.
Section 2. Authority. Pursuant to Article VIII, Section 1(f) of the Constitution of the
State of Florida, Chapter 125 of the Florida Statutes, and the Collier County Local Provider
Participation Fund Ordinance, the Board is hereby authorized to impose a special assessment
against private for-profit and not-for-profit hospitals located within the County to fund the non-
federal share of Medicaid payments associated with Local Services.
Section 3. Special Assessment. The non-ad valorem special assessment discussed
herein shall be imposed, levied, collected, and enforced against Assessed Properties located within
the County. Proceeds from the Assessment shall be used to benefit Assessed Properties through a
directed payment program that will benefit the Assessed Properties for Local Services.
[23-GRC-0 1401/1810806/1] 3 ICAO'
1 6D j
When imposed, the Assessment shall constitute a lien upon the Assessed Properties owned
by Hospitals and/or a lien upon improvements on the Property made by Hospital leaseholders equal
in rank and dignity with the liens of all state, county, district, or municipal taxes and other non-ad
valorem assessments. Payments made by Assessed Properties may not be passed along to patients
of the Assessed Property as a surcharge or as any other form of additional patient charge. Failure to
pay may cause foreclosure proceedings, which could result in loss of title, to commence.
Section 4. Assessment Scope, Basis, and Use. Funds generated from the Assessment
shall be used only to:
1. Provide to the Florida Agency for Health Care Administration the non-federal share for
Medicaid payments, including the hospital directed payment program and graduate
education program, to be made directly or indirectly in support of hospitals serving
Medicaid beneficiaries; and
2. Reimburse the County for administrative costs associated with the implementation of the
Assessment authorized by the Ordinance.
If, at the end of the Fiscal Year, additional amounts remain in the local provider
participation fund, the Board is hereby authorized either (a) to refund to Assessed Properties, in
proportion to amounts paid in during the Fiscal Year, all or a portion of the unutilized local
provider participation fund, or (b) if requested to do so by the Assessed Properties, to retain such
amounts in the fund to transfer to the Agency in the next fiscal year for use as the non-federal share
of Medicaid hospital payments.
If, after the Assessment funds are transferred to the Agency, the Agency returns some or
all of the transferred funding to the County (including, but not limited to, a return of the non-
federal share after a disallowance of matching federal funds), the Board is hereby authorized to
refund to Assessed Properties, in proportion to amounts paid in during the Fiscal Year,the amount
of such returned funds.
Section 5. Computation of Assessment. The Assessment shall equal 1.09% of net
patient revenue for each Assessed Property specified in the attached Non-Ad Valorem Assessment
Roll.The amount of the Assessment required of each Assessed Property may not exceed an amount
that, when added to the amount of other hospital assessments levied by the state or local
government, exceeds the maximum percent of the aggregate net patient revenue of all Assessed
Hospitals in the County permitted by 42 C.F.R. § 433.68(f)(3)(i)(A). Assessments for each
Assessed Property will be derived from data contained in cost reports and/or in the Florida Hospital
Uniform Reporting System,as available from the Florida Agency for Health Care Administration.
Section 6. Timing and Method of Collection. The amount of the assessment is to be
collected pursuant to the Alternative Method outlined in §197.3631, Fla Stat.
The County shall provide Assessment bills by first class mail to the owner of each affected
Hospital. The bill or accompanying explanatory material shall include: (1) a reference to this
Resolution, (2) the total amount of the hospital's Assessment for the appropriate period, (3) the
[23-GRC-01401/18I 0806/I l 4 pp��
1607
location at which payment will be accepted, (4) the date on which the Assessment is due, and (5) a
statement that the Assessment constitutes a lien against assessed property and/or improvements equal
in rank and dignity with the liens of all state, county, district or municipal taxes and other non-ad
valorem assessments.
No act of error or omission on the part of the Comptroller, Property Appraiser, Tax
Collector, Assessment Coordinator, Board, or their deputies or employees shall operate to
release or discharge any obligation for payment of the Assessment imposed by the Board under
the Ordinance and this resolution.
Section 7. Public Hearing. As required by §197.3631, Fla. Stat., the Board has heard
and considered objections of all interested persons prior to rendering a decision on the Assessment
and attached Non-Ad Valorem Assessment Roll.
Section 8. Responsibility for Enforcement. The County and its agent, if any, shall
maintain the duty to enforce the prompt collection of the Assessment by the means provided herein.
The duties related to collection of assessments may be enforced at the suit of any holder of
obligations in a court of competent jurisdiction by mandamus or other appropriate proceedings or
actions.
Section 9. Severability. If any clause, section, or provision of this resolution is
declared unconstitutional or invalid for any reason or cause, the remaining portion hereof shall be in
full force and effect and shall be valid as if such invalid portion thereof had not been incorporated
herein.
Section 10. Effective Date. This Resolution to be effective immediately upon adoption.
This Resolution duly adopted this 26th day of September, 2023.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel, Clerk of Courts COLLIER COUNTY, FLORIDA
By: By:
, Deputy Clerk Rick LoCastro, Chairman
1
Approv d Is to/form and legality:
11^^
Jeffrey A. li:latzkow,County Attorney
i
123-GRC-01401/1810806/11 5 \__,.
•
1687
[Attachment- Assessment Roll)
MCD ID I Organisation FediIty Hospital Address Parcel it Rate Mandatory Payment
10314400 CHS Physicians Regional Medical Center-Pi 6101 Pine Ridge Rd..Naples,FL 34119 80670080001 1.09%NPR $ 3,855,801
10031500 NCH Healthcare System NCH Baker Hospital Downtown 350 7th St.N,Naples,FL 34102 14038880000 1.09%NPR S 6,642,259
104063 Oglethorpe The Willough at Naples 9001 Tamiami Trail East,Naples,FL 33862 55100120000 1.09%NPR $ 159,386
County Phone Number:(239)252.8999
BCC Address:Collier County Government Center,3299 Tamiami Trail East,Ste.303,Naples,Ft.34112
Ordinance Date:June 22,2021
Resolution Date:September 26,2023
Disability Contact:Collier County Facilities Management Division at(239)252-8380
Mandatory Payments Due Date:Upon receipt of invoice
[23-GRC-01401/1810806/1[ 6 CA!
I 6Q7
Jennifer Hansen
From: Jennifer Hansen
Sent: Tuesday, August 29, 2023 1:41 PM
To: Naples Daily News Legals
Cc: Minutes and Records
Subject: Public Notice LPPF 2023
Attachments: Public Notice LPPF 2023 - final.docx; Public Notice LPPF 2023 .docx
Good afternoon,
Please process the attached ad request to run in the regular classified section of the NDN on Wednesday, September 6,
2023.
Thank you,
Jennifer Hansen
BMR &VAB Deputy Clerk
Office: 239-252-8406
Fax: 239-252-8408
ti
s E-mail: jennifer.hansen@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
041s. 3299 Tamiami Trail E, Suite #401
""�`�•�y Naples, FL 34112
www.CollierClerk.com
i
1607
NDN Acct #456755
August 29, 2023
Attn: Legals
Naples News Media
1100 Immokalee Road
Naples, FL 34110
Re: Public Notice LPPF 2023
Dear Legal:
Please advertise the above referenced Notice on Wednesday, September 6,
2023, and send the affidavit of Publication, together with charges involved, to
this office.
Thank you.
Sincerely,
Jennifer Hansen,
Deputy Clerk
P.O. #4500225835
Z 6007
NOTICE OF HEARING REGARDING IMPOSING AND
COLLECTING A NON-AD VALOREM SPECIAL ASSESSMENT
FROM SPECIFIED HOSPITAL PROPERTIES
Notice is hereby given that the Board of County Commissioners of Collier County, Florida, will
conduct a public hearing pursuant to Ordinance No. 2021-23 to consider the approval of the
imposition and collection of a non-ad valorem special assessment against each private for-profit
and not-for-profit hospital that provides inpatient hospital services and that holds a right of
possession and right of use to real property in Collier County (each, an"Assessed Property"). The
list of affected hospitals is included at the conclusion of this notice. The assessment is intended to
finance intergovernmental transfers,provided consistent with federal guidelines,that fund the non-
federal share of certain Medicaid and/or Medicaid managed care payments. As a result, the
assessment directly and specially benefits Assessed Properties and supports the provision of health
care services to Medicaid, indigent, and uninsured members of the County's community.
The public hearing will be held at the Board of County Commissioners chambers at Collier County
Government Center, 3299 Tamiami Trail East, Naples, FL 34112, on September 26, 2023,
commencing at 9:00 a.m.,or as soon thereafter as the matter can be heard. At that time,the Board
will receive public comment on the proposed special assessment.
The Collier County Operations & Veterans Services office has prepared the Non-Ad Valorem
Assessment Roll being considered for approval. The roll contains the names of the Assessed
Properties, the assessment rate, and the amount of the special assessment to be imposed against
each Assessed Property. The Non-Ad Valorem Assessment Roll is available for inspection at the
Collier County Operations & Veterans Services office, located at 3339 Tamiami Trail East, Suite
212,Naples, FL 34112. The assessment rate set forth in the Non-Ad Valorem Assessment Roll to
be levied against the net patient revenue of each Assessed Property is 1.09%.
At the date and time set forth in this notice,the Board of County Commissioners may: (1)approve
the Non-Ad Valorem Assessment Roll, with such amendments as it deems just and right, and
(2) adopt a resolution (the "Assessment Resolution") that describes: (a) the Medicaid payments
proposed for funding from proceeds of the assessment, (b)the benefits to the Assessed Properties,
(c) the methodology for computing the assessed amounts, and (d) the method of collection,
including how and when the assessment is to be paid.
All interested persons have a right to appear at the hearing and to file written objections with the
Board prior to the resolution vote. All objections to the Non-Ad Valorem Assessment Roll being
considered for approval must be made in writing, and filed with the County by September 26,
2023. Written objections should be sent to the attention of the Office of the Assessment
Coordinator at Collier County Operations & Veterans Services, located at 3339 Tamiami Trail
East, Suite 212,Naples, FL 34112.
The amount of the assessment is to be collected pursuant an additional and alternative method, as
specified in § 197.3631, Fla Stat., for the assessment and collection of the non-ad valorem special
assessment. Details will be included in the Assessment Resolution.
16 7
If you are a person with disability who needs any accommodation to participate in this proceeding,
you are entitled, at no cost to you,to the provision of certain assistance. Please contact the Collier
County Facilities Management Division at (239) 252-8380 at least two days prior to the public
hearing if you need special accommodations.
Pursuant to § 286.0105,Fla Stat.,if a person decides to appeal any decision of the Board of County
Commissioners on any matter considered at the public hearing, he or she will need a record of the
proceedings. For such purpose, a person appealing the decision may need to ensure the creation of
a verbatim record, which captures the testimony and evidence upon which the appeal is based.
Collier County, FLORIDA
List of Affected Properties:
The special assessment is to be levied against each private for-profit and not-for-profit hospital
operating under a Florida hospital license affiliated with the following providers of inpatient
hospital services that holds a right of possession and right of use to real property in Collier
County, Florida:
Hospital Name: Physicians Regional Medical Center-Pine Ridge
Hospital Address: 6101 Pine Ridge Rd.,Naples, FL 34119
Parcel ID: 80670080001
Hospital Name:NCH Baker Hospital Downtown
Hospital Address: 350 7th St.N,Naples, FL 34102
Parcel ID: 1403 88 80000
Hospital Name: The Willough at Naples
Hospital Address: 9001 Tamiami Trail East,Naples, FL 33862
Parcel ID: 55100120000
I 607
Jennifer Hansen
From: Gannett Legals Public Notices 4 <ganlegpubnotices4@gannett.com>
Sent: Tuesday, August 29, 2023 1:41 PM
To: Jennifer Hansen
Subject: DO NOT REPLY
External Message Please use caution when opening attachments, clicking links, or replying to this message.
Early Deadlines will be in effect for the Labor Day Holiday . Our offices will be closed on Monday,
September 4th 2023.
This is an auto generated email, please do not reply.
The legal department has received your email and will be processing your notice as soon as possible.
We will provide a proof as well as publication dates, cost and payment requirements prior to the notice
running.
All Legal/Public Notices will be processed for the desired publication if received by deadline.
Office Hours: Monday— Friday 8:00 am -5:00 pm CST/EST
Thank you for your business.
Gannett Legal/Public Notice Department
i
1607
Jennifer Hansen
From: Gannett Legals Public Notices 4 <ganlegpubnotices4@gannett.com>
Sent: Tuesday, August 29, 2023 2:21 PM
To: Jennifer Hansen
Cc: Minutes and Records
Subject: RE: 5813230-Public Notice LPPF 2023
Attachments: OrderConf.pdf
External Message: Please use caution when opening attachments, clicking links, or replying to this message.
Hello,
Please find your order confirmation and proof of ad attached.
Your ad is set to run in the Daily News on 9/6.
The total cost is$616.00 which includes an affidavit that will be mailed to you 7-10 business days after the last day of
the ad printing. Please reply by 12pm EST on 8/31 with any changes for the ad.
Your notice is scheduled to run, per your request, and will publish unless you advise otherwise.
Invoices are mailed out at the end of each month for all ads that finished running in that month.
In the future, be on the lookout for access to our online self-serve ad portal in your local publication to conveniently
place future legal notices.
*NOTE: We are not legally trained, and it is your responsibility to make sure your AD meets the requirements of your
State/Court which includes wording and publication times. Please verify all information is there and that it is correct.
Anything missing and/or incorrect can cause your publication to be rejected in which you will be responsible for all fees
to republished.
Thank you,
Forrest Grade
Public Notice Representative
* LocaliQ
OuNsEms.Rty
Office.844-254-5287
From:Jennifer Hansen<jennifer.hansen@collierclerk.com>
Sent:Tuesday,August 29, 2023 12:41 PM
To: NDN-Legals<legals@naplesnews.com>
Cc: Minutes and Records<MinutesandRecords@collierclerk.com>
Subject: 5813230-Public Notice LPPF 2023
Good afternoon,
Please process the attached ad request to run in the regular classified section of the NDN on Wednesday, September 6,
2023.
1
1 60 7
Jennifer Hansen
From: Jennifer Hansen on behalf of Minutes and Records
Sent: Tuesday, August 29, 2023 2:28 PM
To: Minutes and Records; RodriguezWanda
Cc: Jeffrey Newman;Jeffrey Weir
Subject: RE: ad request - Public Notice LPPF 2023 - 9/26/23 BCC
Attachments: OrderConf(005).pdf
Good day!!
Your ad proof and estimated costs are ready for your approval.
Thank you,
Jennifer Hansen
BMR &VAB Deputy Clerk
c4„cuiT cou4 .4, Office: 239-252-8406
_�� f'% Fax: 239-252-8408
E-mail: jennifer.hansen@CollierClerk.com
o
Office of the Clerk of the Circuit Court
*tea _+ & Comptroller of Collier County
`(/F �� 3299 Tamiami Trail E, Suite #401
�t"t rm-i •� Naples, FL 34112
www.CollierClerk.com
From:Jennifer Hansen <jennifer.hansen@collierclerk.com>On Behalf Of Minutes and Records
Sent:Tuesday, August 29, 2023 1:56 PM
To: RodriguezWanda <Wanda.Rodriguez@colliercountyfl.gov>; Minutes and Records
<MinutesandRecords@collierclerk.com>
Cc:Jeffrey Newman <Jeffrey.Newman@colliercountyfl.gov>; Jeffrey Weir<Jeffrey.Weir@colliercountyfl.gov>
Subject: RE: ad request- Public Notice LPPF 2023 -9/26/23 BCC
Received and processing!!
Be Safe!
1
I 6 D 7
•
Nr 4,
c� aiAirws
PART OF THE USA TODAY NETWORK
FLORIDA DEPARTMENT 0
3339 TAMIAMI TRL E
NAPLES FL 34112--536
Account AD# Order Tax Amount Total Order Payment Method Order Payment Order Amount
n.,,......� n..,.....,F n..s
Amount
1692310 0005813230 $616.00 $0.00 $616.00 Invoice $0.00 $616.00
Sales Rep: FGrade Order Taker: FGrade Order Created 08/29/2023
Product #Ins Column Agate Lines Start Date End Date
NDN-Naples Daily News 1 2.00 176 09/06/2023 09/06/2023
NDN-naplesnews.com 1 2.00 176 09/06/2023 09/06/2023
*ALL TRANSACTIONS CONSIDERED PAID IN FULL UPON CLEARANCE OF FINANCIAL INSTITUTION
I 6 0 7
Text of Ad: 08/29/2023
NOTICE OF HEARING REGARDING IMPOSING AND
COLLECTING A NON-AD VALOREM SPECIAL ASSESSMENT
FROM SPECIFIED HOSPITAL PROPERTIES
Notice is hereby given that the Board of County Commissioners
of Collier County, Florida, will conduct a public hearing pur-
suant to Ordinance No. 2021-23 to consider the approval of the
imposition and collection of a non-ad valorem special assess-
ment against each private for-profit and not-for-profit hospital
that provides inpatient hospital services and that holds a right
of possession and right of use to real property in Collier County
(each, an "Assessed Property"). The list of affected hospitals is
included at the conclusion of this notice. The assessment is in-
tended to finance intergovernmental transfers, provided consis-
tent with federal guidelines, that fund the non-federal share of
certain Medicaid and/or Medicaid managed care payments. As a
result, the assessment directly and specially benefits Assessed
Properties and supports the provision of health care services to
Medicaid, indigent, and uninsured members of the County's
community.
The public hearing will be held at the Board of County Commis-
sioners chambers at Collier County Government Center, 3299
Tamiami Trail East, Naples, FL 34112, on September 26, 2023,
commencing at 9:00 a.m., or as soon thereafter as the matter
can be heard. At that time, the Board will receive public com-
ment on the proposed special assessment.
The Collier County Operations & Veterans Services office has
prepared the Non-Ad Valorem Assessment Roll being consid-
ered for approval. The roll contains the names of the Assessed
Properties, the assessment rate, and the amount of the special
assessment to be imposed against each Assessed Property. The
Non-Ad Valorem Assessment Roll is available for inspection at
the Collier County Operations & Veterans Services office, locat-
ed at 3339 Tamiami Trail East, Suite 212, Naples, FL 34112. The
assessment rate set forth in the Non-Ad Valorem Assessment
Roll to be levied against the net patient revenue of each As-
sessed Property is 1.09%.
At the date and time set forth in this notice, the Board of Coun-
ty Commissioners may: (1) approve the Non-Ad Valorem Assess-
ment Roll, with such amendments as it deems just and right,
and (2) adopt a resolution (the "Assessment Resolution") that
describes: (a)the Medicaid payments proposed for funding from
proceeds of the assessment, (b) the benefits to the Assessed
Properties, (c) the methodology for computing the assessed
amounts, and (d) the method of collection, including how and
when the assessment is to be paid.
All interested persons have a right to appear at the hearing and
to file written objections with the Board prior to the resolution
vote. All objections to the Non-Ad Valorem Assessment Roll be-
ing considered for approval must be made in writing, and filed
with the County by September 26, 2023. Written objections
should be sent to the attention of the Office of the Assessment
Coordinator at Collier County Operations & Veterans Services,
located at 3339 Tamiami Trail East,Suite 212,Naples,FL 34112.
The amount of the assessment is to be collected pursuant an ad-
ditional and alternative method, as specified in § 197.3631, Fla
Stat., for the assessment and collection of the non-ad valorem
special assessment. Details will be included in the Assessment
Resolution.
If you are a person with disability who needs any accommoda-
tion to participate in this proceeding, you are entitled, at no
cost to you, to the provision of certain assistance. Please contact
the Collier County Facilities Management Division at (239) 252-
8380 at least two days prior to the public hearing if you need
special accommodations.
Pursuant to § 286.0105, Fla Stat., if a person decides to appeal
any decision of the Board of County Commissioners on any mat-
ter considered at the public hearing, he or she will need a re-
cord of the proceedings. For such purpose, a person appealing
the decision may need to ensure the creation of a verbatim re-
cord, which captures the testimony and evidence upon which
the appeal is based.
Collier County,FLORIDA
List of Affected Properties:
The special assessment is to be levied against each private for-
profit and not-for-profit hospital operating under a Florida hos-
pital license affiliated with the following providers of inpatient
hospital services that holds a right of possession and right of use
to real property in Collier County,Florida:
Hospital Name:Physicians Regional Medical Center-Pine Ridge
Hospital Address:6101 Pine Ridge Rd., Naples, FL 34119
Parcel ID:80670080001
Hospital Name:NCH Baker Hospital Downtown
Hospital Address:350 7th St.N, Naples,FL 34102
Parcel ID: 14038880000
Hospital Name:The Willough at Naples
Hospital Address:9001 Tamiami Trail East, Naples,FL 33862
Parcel ID:55100120000
Pub Date:Sep.6,2023#5813230
Jennifer Hansen 16 0 7
From: Jennifer Hansen
Sent: Tuesday, August 29, 2023 2:44 PM
To: 'Gannett Legals Public Notices 4'
Cc: Minutes and Records
Subject: RE: 5813230-Public Notice LPPF 2023
Attachments: proof correction - spacing.pdf
Somehow all the spaces between paragraphs disappeared, and they are needed for legibility. Please
restore the spacing between paragraphs as was in the original notice document, and as marked in
the attached, and send us a revised proof. Thank you!
Jennifer Hansen
BMR &VAB Deputy Clerk
Office: 239-252-8406
`` Fax: 239-252-8408
Y x E-mail: iennifer.hansen@CollierClerk.com
x
Office of the Clerk of the Circuit Court
* * & Comptroller of Collier County
o* 3299 Tamiami Trail E, Suite #401
col Ft`T`•tti Naples, FL 34112
www.CollierClerk.com
From: Gannett Legals Public Notices 4<ganlegpubnotices4@gannett.com>
Sent:Tuesday, August 29, 2023 2:21 PM
To:Jennifer Hansen<jennifer.hansen@collierclerk.com>
Cc: Minutes and Records<MinutesandRecords@collierclerk.com>
Subject: RE: 5813230-Public Notice LPPF 2023
External Message: Please use caution when opening attachments, clicking links, or replying to this message.
Hello,
Please find your order confirmation and proof of ad attached.
Your ad is set to run in the Daily News on 9/6.
The total cost is$616.00 which includes an affidavit that will be mailed to you 7-10 business days after the last day of
the ad printing. Please reply by 12pm EST on 8/31 with any changes for the ad.
Your notice is scheduled to run, per your request, and will publish unless you advise otherwise.
Invoices are mailed out at the end of each month for all ads that finished running in that month.
In the future, be on the lookout for access to our online self-serve ad portal in your local publication to conveniently
place future legal notices.
i
1 7
Text of Ad: 08/29/2023
NOTICE OF HEARING REGARDING IMPOSING AND
COLLECTING A NON-AD VALOREM SPECIAL ASSESSMENT
FROM SPECIFIED HOSPITAL PROPERTIES
Notice is hereby given that the Board of County mmissioner3l
of Collier County, Florida, will conduct a public hearing pur-
suant to Ordinance No. 2021-23 to consider the approval of the
imposition and collection of a non-ad valorem special assess-
ment against each private for-profit and not-for-profit hospital
that provides inpatient hospital services and that holds a right
of possession and right of use to real property in Collier County
(each, an "Assessed Property"). The list of affected hospitals is
included at the conclusion of this notice. The assessment is in-
tended to finance intergovernmental transfers, provided consis-
tent with federal guidelines, that fund the non-federal share of
certain Medicaid and/or Medicaid managed care payments. As a
result, the assessment directly and specially benefits Assessed
Properties and supports the provision of health care services to
Medicaid, indigent, and uninsured members of the County's
community.
The public eanT ng be held at the Board of County Commis-
sioners chambers at Collier County Government Center, 3299
Tamiami Trail East, Naples, FL 34112, on September 26, 2023,
commencing at 9:00 a.m., or as soon thereafter as the matter
can be heard. At that time, the Board will receive public com-
ment on the proposed special assessment,
The Collier County Operations &VTeferans Services office has
prepared the Non-Ad Valorem Assessment Roll being consid-
ered for approval. The roll contains the names of the Assessed
Properties, the assessment rate, and the amount of the special
assessment to be imposed against each Assessed Property. The
Non-Ad Valorem Assessment Roll is available for inspection at
the Collier County Operations &Veterans Services office, locat-
ed at 3339 Tamiami Trail East, Suite 212, Naples, FL 34112. The
assessment rate set forth in the Non-Ad Valorem Assessment
Roll to be levied against the net patient revenue of each As-
sessed Property is 1.09%_ _ __—_ _.._ __
At the date and time set forth in this notice, the Board of Coun-
ty Commissioners may: (1) approve the Non-Ad Valorem Assess-
ment Roll, with such amendments as it deems just and right,
and (2) adopt a resolution (the "Assessment Resolution") that
describes: (a)the Medicaid payments proposed for funding from
proceeds of the assessment, (b) the benefits to the Assessed
Properties, (c) the methodology for computing the assessed
amounts, and (d) the method of collection, including how and
when the assessment is to.be�jL
All interested persons have a right to appear at the hearing and
to file written objections with the Board prior to the resolution
vote. All objections to the Non-Ad Valorem Assessment Roll be-
ing considered for approval must be made in writing, and filed
with the County by September 26, 2023. Written objections
should be sent to the attention of the Office of the Assessment
Coordinator at Collier County Operations & Veterans Services,
located at 3339 Tamiami Trail East,Suite 212, Naples,FL 34112.
The amount of the assessment is to be collected pursuant an ad-
ditional and alternative method, as specified in § 197.3631, Fla
Stat., for the assessment and collection of the non-ad valorem
special assessment. Details will be included in the Assessment
Resolutio
If you are a person with disability who needs any accommoda-
tion to participate in this proceeding, you are entitled, at no
cost to you,to the provision of certain assistance. Please contact
the Collier County Facilities Management Division at (239) 252-
8380 at least two days prior to the public hearing if you need
special accom dations.
Pursuant to § 28 a Stat., if a person decides to appeal
any decision of the Board of County Commissioners on any mat-
ter considered at the public hearing, he or she will need a re-
cord of the proceedings. For such purpose, a person appealing
the decision may need to ensure the creation of a verbatim re-
cord, which captures the testimony and evidence upon which
• the appeal is based.
Collier County,rLORJ f' , Se�S
List of Affected Properties:
The special assessor is o e levie against each private or-
profit and not-for-profit hospital operating under a Florida hos-
pital license affiliated with the following providers of inpatient
hospital services that holds a right of possession and right of use
to real property in Collier Coun1X._Flodsia:
Hospital Name:Physicians Regional Medical Center-Pine Ridge
Hospital Address:6101 Pine Ridge Rd., Naples,FL 34119
Parcel ID:806700.ij1001
Hospital Name: CH Baker Hospital Downtown
Hospital Address:350 7th St.N,Naples,FL 34102
Parcel ID: 14038880000
Hospital Name:The Willough at Naples
Hospital Address:9001 Tamiami Trail East,Naples,FL 33862
Parcel ID:55100120000
Pub Date:Sep.6,2023#5813230
I 0 7
Jennifer Hansen
From: Gannett Legals Public Notices 4 <ganlegpubnotices4@gannett.com>
Sent: Tuesday, August 29, 2023 4:06 PM
To: Jennifer Hansen
Cc: Minutes and Records
Subject: RE: 5813230-Public Notice LPPF 2023
Attachments: OrderConf.pdf
Please use caution when opening attachments, clicking links, or replying to this message.
Hello,
The notice has been updated.The new total cost is $721.00. Please see the attached.
Thank you,
Forrest Grade
Public Notice Representative
* LoOD
c a I NETWUSATQRAYK
Office 844-254-5287
From:Jennifer Hansen <jennifer.hansen@collierclerk.com>
Sent:Tuesday, August 29, 2023 1:44 PM
To: Gannett Legals Public Notices 4<ganlegpubnotices4@gannett.com>
Cc: Minutes and Records<MinutesandRecords@collierclerk.com>
Subject: RE: 5813230-Public Notice LPPF 2023
Somehow all the spaces between paragraphs disappeared, and they are needed for legibility. Please
restore the spacing between paragraphs as was in the original notice document, and as marked in
the attached, and send us a revised proof. Thank you!
Jennifer Hansen
BMR &VAB Deputy Clerk
COUkT Office: 239-252-8406
Fax: 239-252-8408
E-mail: iennifer.hansen@CollierClerk.com
Office of the Clerk of the Circuit Court
* * & Comptroller of Collier County
"44iF 3299 Tamiami Trail E, Suite #401
Naples, FL 34112
www.CollierClerk.com
1
160 ?
Jennifer Hansen
From: Jennifer Hansen
Sent: Tuesday, August 29, 2023 4:08 PM
To: RodriguezWanda; Minutes and Records
Cc: Jeffrey Newman;Jeffrey Weir
Subject: RE: ad request - Public Notice LPPF 2023 - 9/26/23 BCC
Attachments: OrderConf (005).pdf
Hello there!
Attached is the ad proof and new estimated costs.
Thank you!!
Jennifer Hansen
BMR &VAB Deputy Clerk
``ssoTcopRr4 Office: 239-252-8406
Fax: 239-252-8408
E-mail: iennifer.hansen@CollierClerk.com
Office of the Clerk of the Circuit Court
* & Comptroller of Collier County
3299 Tamiami Trail E, Suite #401
RC<amr�.F1. Naples, FL 34112
www.CollierClerk.com
From:Wanda Rodriguez<Wanda.Rodriguez@colliercountyfl.gov>
Sent:Tuesday, August 29, 2023 2:36 PM
To: Minutes and Records<MinutesandRecords@collierclerk.com>;Jennifer Hansen <jennifer.hansen@collierclerk.com>
Cc:Jeffrey Newman <Jeffrey.Newman@colliercountyfl.gov>;Jeffrey Weir<Jeffrey.Weir@colliercountyfl.gov>
Subject: RE: ad request- Public Notice LPPF 2023 -9/26/23 BCC
Jennifer,
Somehow all the spaces between paragraphs disappeared, and they are needed for legibility. Please
ask NDN to restore the spacing between paragraphs as was in the original notice document, and as
marked in the attached, and send us a revised proof. Thank you!
Wanda Rodriguez, ACT, CP.I
Office of the County Attorney
(239) 252-8400
i
16D7
4 .
4,,,, aptc6 BatiB ..., . icill6
PART OF THE USA TODAY NETWORK
FLORIDA DEPARTMENT 0
3339 TAMIAMI TRL E
NAPLES FL 34112--536
Account AD# Order Tax Amount Total Order Payment Method Order Payment Order Amount
Amount
1692310 0005813230 $721.00 $0.00 $721.00 Invoice $0.00 $721.00
Sales Rep: FGrade Order Taker: FGrade Order Created 08/29/2023
Product #Ins Column Agate Lines Start Date End Date
NDN-Naples Daily News 1 2.00 206 09/06/2023 09/06/2023
NDN-naplesnews.com 1 2.00 206 09/06/2023 09/06/2023
*ALL TRANSACTIONS CONSIDERED PAID IN FULL UPON CLEARANCE OF FINANCIAL INSTITUTION
I 6 0 7
Text of Ad: 08/29/2023
NOTICE OF HEARING REGARDING IMPOSING AND
COLLECTING A NON-AD VALOREM SPECIAL ASSESSMENT
FROM SPECIFIED HOSPITAL PROPERTIES
Notice is hereby given that the Board of County Commissioners
of Collier County, Florida, will conduct a public hearing pur-
suant to Ordinance No. 2021-23 to consider the approval of the
imposition and collection of a non-ad valorem special assess-
ment against each private for-profit and not-for-profit hospital
that provides inpatient hospital services and that holds a right
of possession and right of use to real property in Collier County
(each, an "Assessed Property"). The list of affected hospitals is
included at the conclusion of this notice. The assessment is in-
tended to finance intergovernmental transfers, provided consis-
tent with federal guidelines, that fund the non-federal share of
certain Medicaid and/or Medicaid managed care payments. As a
result, the assessment directly and specially benefits Assessed
Properties and supports the provision of health care services to
Medicaid, indigent, and uninsured members of the County's
community.
The public hearing will be held at the Board of County Commis-
sioners chambers at Collier County Government Center, 3299
Tamiami Trail East, Naples, FL 34112, on September 26, 2023,
commencing at 9:00 a.m., or as soon thereafter as the matter
can be heard. At that time, the Board will receive public com-
ment on the proposed special assessment.
The Collier County Operations & Veterans Services office has
prepared the Non-Ad Valorem Assessment Roll being consid-
ered for approval. The roll contains the names of the Assessed
Properties, the assessment rate, and the amount of the special
assessment to be imposed against each Assessed Property. The
Non-Ad Valorem Assessment Roll is available for inspection at
the Collier County Operations & Veterans Services office, locat-
ed at 3339 Tamiami Trail East, Suite 212, Naples, FL 34112. The
assessment rate set forth in the Non-Ad Valorem Assessment
Roll to be levied against the net patient revenue of each As-
sessed Property is 1.09%.
At the date and time set forth in this notice, the Board of Coun-
ty Commissioners may: (1) approve the Non-Ad Valorem Assess-
ment Roll, with such amendments as it deems just and right,
and (2) adopt a resolution (the "Assessment Resolution") that
describes: (a)the Medicaid payments proposed for funding from
proceeds of the assessment, (b) the benefits to the Assessed
Properties, (c) the methodology for computing the assessed
amounts, and (d) the method of collection, including how and
when the assessment is to be paid.
All interested persons have a right to appear at the hearing and
to file written objections with the Board prior to the resolution
vote. All objections to the Non-Ad Valorem Assessment Roll be-
ing considered for approval must be made in writing, and filed
with the County by September 26, 2023. Written objections
should be sent to the attention of the Office of the Assessment
Coordinator at Collier County Operations & Veterans Services,
located at 3339 Tamiami Trail East,Suite 212, Naples,FL 34112.
The amount of the assessment is to be collected pursuant an ad-
ditional and alternative method, as specified in § 197.3631, Fla
Stat., for the assessment and collection of the non-ad valorem
special assessment. Details will be included in the Assessment
Resolution.
If you are a person with disability who needs any accommoda-
tion to participate in this proceeding, you are entitled, at no
cost to you, to the provision of certain assistance. Please contact
the Collier County Facilities Management Division at (239) 252-
8380 at least two days prior to the public hearing if you need
special accommodations.
Pursuant to § 286.0105, Fla Stat., if a person decides to appeal
any decision of the Board of County Commissioners on any mat-
ter considered at the public hearing, he or she will need a re-
cord of the proceedings. For such purpose, a person appealing
the decision may need to ensure the creation of a verbatim re-
cord, which captures the testimony and evidence upon which
the appeal is based.
Collier County, FLORIDA
List of Affected Properties:
The special assessment is to be levied against each private for-
profit and not-for-profit hospital operating under a Florida hos-
pital license affiliated with the following providers of inpatient
hospital services that holds a right of possession and right of use
to real property in Collier County,Florida:
Hospital Name:Physicians Regional Medical Center-Pine Ridge
Hospital Address:6101 Pine Ridge Rd., Naples, FL 34119
Parcel ID:80670080001
Hospital Name:NCH Baker Hospital Downtown
Hospital Address:350 7th St.N,Naples,FL 34102
Parcel ID: 14038880000
I 6 0 7
Hospital Name:The Willough at Naples
Hospital Address:9001 Tamiami Trail East, Naples, FL 33862
Parcel ID:55100120000
Pub Date:Sep.6,2023#5813230
1697
Jennifer Hansen
From: Wanda Rodriguez <Wanda.Rodriguez@colliercountyfl.gov>
Sent: Wednesday, August 30, 2023 12:53 PM
To: Minutes and Records;Jennifer Hansen
Cc: Jeffrey Newman; Jeffrey Weir
Subject: proof approval - Public Notice LPPF 2023 - 9/26/23 BCC
Attachments: OrderConf(005).pdf
Jennifer,
Staff and attorney approvals are below, and no other approvals are required for this proof. Good to
go!
Wanda Rodriguez, MCP, CPM
Office of the County .attorney
(239) 252-8400
(0101E6
19 F i.n N i n ( Pi
grogram
Cr.ii�cd Public Min,i;c
i1 NALA �w.,w,.,...,. �, /►
v3 ��
From:Jeff Klatzkow<Jeff.Klatzkow@colliercountyfl.gov>
Sent: Wednesday, August 30, 2023 12:05 PM
To:Wanda Rodriguez<Wanda.Rodriguez@colliercountyfl.gov>
Subject: RE: ad proof for approval - Public Notice LPPF 2023 - 9/26/23 BCC
Approved.
From:Wanda Rodriguez<Wanda.Rodriguez@colliercountyfl.gov>
Sent: Wednesday, August 30, 2023 11:32 AM
To:Jeff Klatzkow<Jeff.Klatzkow@colliercountyfl.gov>
Subject: ad proof for approval - Public Notice LPPF 2023 -9/26/23 BCC
Jeff,
For your approval. Staff approval of the proof is below.
Wanda Rodriguez, ACP, CPM
Office of the County Attorney
(239) 252-8400
1
1 60 7
Jennifer Hansen
From: Jennifer Hansen
Sent: Wednesday, August 30, 2023 12:57 PM
To: 'Gannett Legals Public Notices 4'
Cc: Minutes and Records
Subject: RE: 5813230-Public Notice LPPF 2023
Good afternoon
This Ad has been approved.
Thank you
Jennifer Hansen
BMR &VAB Deputy Clerk
l`cocouRra Office: 239-252-8406
Fax: 239-252-8408
E-mail: iennifer.hansen@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
.` � 3299 Tamiami Trail E, Suite #401
Rcotrt ri-� Naples, FL 34112
www.CollierClerk.com
From: Gannett Legals Public Notices 4<ganlegpubnotices4@gannett.com>
Sent:Tuesday, August 29, 2023 4:06 PM
To:Jennifer Hansen <jennifer.hansen@collierclerk.com>
Cc: Minutes and Records<MinutesandRecords@collierclerk.com>
Subject: RE: 5813230-Public Notice LPPF 2023
External Message: Please use caution when opening attachments, clicking links, or replying to this message.
Hello,
The notice has been updated.The new total cost is$721.00. Please see the attached.
Thank you,
Forrest Grade
Public Notice Representative
1 . Q
UNESATW TODAYORK
1
1 607
Jennifer Hansen
From: Gannett Legals Public Notices 4 <ganlegpubnotices4@gannett.com>
Sent: Wednesday, August 30, 2023 12:57 PM
To: Jennifer Hansen
Subject: DO NOT REPLY
External Message: Please use caution when opening attachments,clicking links, or replying to this message.
Early Deadlines will be in effect for the Labor Day Holiday . Our offices will be closed on Monday,
September 4th 2023.
This is an auto generated email, please do not reply.
The legal department has received your email and will be processing your notice as soon as possible.
We will provide a proof as well as publication dates, cost and payment requirements prior to the notice
running.
All Legal/Public Notices will be processed for the desired publication if received by deadline.
Office Hours: Monday— Friday 8:00 am -5:00 pm CST/EST
Thank you for your business.
Gannett Legal/Public Notice Department
i
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 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.
** 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
l.Yahaira Magee Public Services/ OVS YM 9/28/2023
2. County Manager Office AP / YM 9/28/2023
3. County Attorney Office County Attorney Office
)Akl 9I2$
4. BCC Office Board of County
Commissioners RL R/ '/&3
5. Minutes and Records Clerk of Court's Office ( r 0459��
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 Yahaira Magee Phone Number4059
Contact/Department
Agenda Date Item was 9/26/2023 Agenda Item Number 16.D.7
Approved by the BCC
Type of Document(s) Resolution and two LOA r?D Number of Original 3
Attached Documents Attached
PO number or account Please email the final copy to: cc: ilFiPt}r./Vcr..i+tavot
number if document is Yahaira.magee@colliercountyfl.gov
to be recorded Pcv(/.vCo,,,+y(/.qav
INSTRUCTIONS & CHECKLIST'
Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
I. Does the document require the chairman's signature?(stamped unless otherwise stated) YM
2. Does the document need to be sent to another agency for additional signatures? If yes, YM
provide the Contact Information (Name;Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legality. (All documents to be signed by YM
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 YM
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 YM
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
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is uploaded to the
agenda. 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 9/26/2023 and all changes made during ( N/A is not
the meeting have been incorporated in the attached document. The County Attorney idkl le an option for
Office has reviewed the changes, if applicable. J�' ! 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 -5Ak 00 an option for
Chairman's signature. this line.
I Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04;Revised 1.26.05;2.24.05; 11/30/12;4/22/16;9/10/21
1 6D 7
RESOLUTION NO. 2023 -1 7 0
AN ASSESSMENT RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
AUTHORIZING AND ADOPTING A NON-AD VALOREM
SPECIAL ASSESSMENT WITHIN THE COUNTY LIMITS FOR
THE PURPOSE OF BENEFITING ASSESSED PROPERTIES
THROUGH ENHANCED MEDICAID PAYMENTS FOR LOCAL
SERVICES; FINDING AND DETERMINING THAT CERTAIN
REAL PROPERTY IS SPECIALLY BENEFITED BY THE
ASSESSMENT; COLLECTING THE ASSESSMENT AGAINST
THE REAL PROPERTY; ESTABLISHING A PUBLIC HEARING
TO CONSIDER IMPOSITION OF THE PROPOSED
ASSESSMENT AND THE METHOD OF ITS COLLECTION;
AUTHORIZING AND DIRECTING THE PUBLICATION OF
NOTICES IN CONNECTION THEREWITH; PROVIDING FOR
CERTAIN OTHER AUTHORIZATIONS AND DELEGATIONS
OF AUTHORITY AS NECESSARY; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS, hospitals in Collier County's jurisdiction (the "Hospitals")annually provide
millions of dollars of uncompensated care to uninsured persons and those who qualify for
Medicaid because Medicaid, on average, covers only 60% of the costs of the health care services
actually provided by Hospitals to Medicaid-eligible persons, leaving hospitals with significant
uncompensated costs: and
WHEREAS,Hospitals in Collier County(the"County") support a non-ad valorem special
assessment upon certain real property interests held by the Hospitals to help finance the non-
federal share of the State's Medicaid program; and
WHEREAS, the only real properties interests that will be subject to the non-ad valorem
assessments authorized herein are those belonging to the Hospitals; and
WHEREAS,the County recognizes that one or more of the Hospitals within the County's
boundaries may be located upon real property leased from governmental entities and that such
Hospitals may be assessed because courts do not make distinctions on the application of special
assessments based on"property interests"but rather on the distinction of the classifications of real
property being assessed; and
WHEREAS,the funding raised by the County assessment will,through intergovernmental
transfers ("IGTs") provided consistent with federal guidelines, support additional funding for
Medicaid payments to Hospitals; and
WHEREAS, the County acknowledges that the Hospital properties assessed will benefit
directly and especially from the assessment as a result of the above-described additional funding
provided to said Hospitals; and
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WHEREAS, the County has determined that a logical relationship exists between the
services provided by the Hospitals,which will be supported by the assessment,and the special and
particular benefit to the real property of the Hospitals; and
WHEREAS, the County has an interest in promoting access to health care for its low-
income and uninsured residents; and
WHEREAS, leveraging additional federal support through the above-described IGTs to
fund Medicaid payments to the Hospitals for health care services directly and specifically benefits
the Hospitals' property interests and supports their continued ability to provide those services;and
WHEREAS, imposing an assessment limited to Hospital properties to help fund the
provision of these services and the achievement of certain quality standards by the Hospitals to
residents of the County is a valid public purpose that benefits the health, safety, and welfare of the
citizens of the County; and
WHEREAS, the assessment ensures the financial stability and viability of the Hospitals
providing such services; and
WHEREAS, the Hospitals are important contributors to the County's economy, and the
financial benefit to these Hospitals directly and specifically supports their mission, as well as their
ability to grow, expand, and maintain their facilities in concert with the population growth in the
jurisdiction of the County; and
WHEREAS, the Board finds the assessment will enhance the Hospitals' ability to grow,
expand, maintain, improve, and increase the value of their Collier County properties and facilities
under all present circumstances and those of the foreseeable future; and
WHEREAS, the County is proposing a properly apportioned assessment by which all
Hospitals will be assessed at a uniform rate that is compliant with 42 C.F.R. § 433.68(d); and
WHEREAS, on June 22, 2021, the Board of County Commissioners adopted Ordinance
2021-23,enabling the County to levy a uniform non-ad valorem special assessment,which is fairly
and reasonably apportioned among the Hospitals' property interests within the County's
jurisdictional limits, to establish and maintain a system of funding for IGTs to support the non-
federal share of Medicaid payments,thus directly and specially benefitting Hospital properties.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA:
Section 1. Definitions. As used in this Resolution, the following capitalized terms, not
otherwise defined herein or in the Ordinance, shall have the meanings below, unless the context
otherwise requires.
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Assessed Property means the real property in the County to which an Institutional Health
Care Provider holds a right of possession and right of use through an ownership or leasehold
interest, thus making the property subject to the Assessment.
Assessment means a non-ad valorem special assessment imposed by the County on
Assessed Property to fund the non-federal share of Medicaid and Medicaid managed care
payments that will benefit hospitals providing Local Services in the County.
Assessment Coordinator means the person appointed to administer the Assessment
imposed pursuant to this Article, or such person's designee.
Board means the Board of County Commissioners of Collier County, Florida.
Comptroller means the Collier County Comptroller,ex officio Clerk to the Board, or other
such person as may be duly authorized to act on such person's behalf.
County means Collier County, Florida.
Fiscal Year means the period commencing on October 1 of each year and continuing
through the next succeeding September 30, or such other period as may be prescribed by law as
the fiscal year for the County.
Institutional Health Care Provider means a private for-profit or not-for-profit hospital that
provides inpatient hospital services.
Local Services means the provision of health care services to Medicaid, indigent, and
uninsured members of the Collier County community.
Non-Ad Valorem Assessment Roll means the special assessment roll prepared by the
County.
Ordinance means the Collier County Local Provider Participation Fund Ordinance No.
2021-23, as codified in Chapter 126, Article VI of the Collier County Code of Ordinances.
Tax Collector means the Collier County Tax Collector.
Section 2. Authority. Pursuant to Article VIII, Section 1(f) of the Constitution of the
State of Florida, Chapter 125 of the Florida Statutes, and the Collier County Local Provider
Participation Fund Ordinance, the Board is hereby authorized to impose a special assessment
against private for-profit and not-for-profit hospitals located within the County to fund the non-
federal share of Medicaid payments associated with Local Services.
Section 3. Special Assessment. The non-ad valorem special assessment discussed
herein shall be imposed, levied, collected, and enforced against Assessed Properties located within
the County. Proceeds from the Assessment shall be used to benefit Assessed Properties through a
directed payment program that will benefit the Assessed Properties for Local Services.
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When imposed,the Assessment shall constitute a lien upon the Assessed Properties owned
by Hospitals and/or a lien upon improvements on the Property made by Hospital leaseholders equal
in rank and dignity with the liens of all state, county, district, or municipal taxes and other non-ad
valorem assessments. Payments made by Assessed Properties may not be passed along to patients
of the Assessed Property as a surcharge or as any other form of additional patient charge. Failure to
pay may cause foreclosure proceedings,which could result in loss of title,to commence.
Section 4. Assessment Scope,Basis,and Use. Funds generated from the Assessment
shall be used only to:
1. Provide to the Florida Agency for Health Care Administration the non-federal share for
Medicaid payments, including the hospital directed payment program and graduate
education program, to be made directly or indirectly in support of hospitals serving
Medicaid beneficiaries; and
2. Reimburse the County for administrative costs associated with the implementation of the
Assessment authorized by the Ordinance.
If, at the end of the Fiscal Year, additional amounts remain in the local provider
participation fund, the Board is hereby authorized either (a) to refund to Assessed Properties, in
proportion to amounts paid in during the Fiscal Year, all or a portion of the unutilized local
provider participation fund, or (b) if requested to do so by the Assessed Properties, to retain such
amounts in the fund to transfer to the Agency in the next fiscal year for use as the non-federal share
of Medicaid hospital payments.
If, after the Assessment funds are transferred to the Agency, the Agency returns some or
all of the transferred funding to the County (including, but not limited to, a return of the non-
federal share after a disallowance of matching federal funds), the Board is hereby authorized to
refund to Assessed Properties,in proportion to amounts paid in during the Fiscal Year,the amount
of such returned funds.
Section 5. Computation of Assessment. The Assessment shall equal 1.09% of net
patient revenue for each Assessed Property specified in the attached Non-Ad Valorem Assessment
Roll.The amount of the Assessment required of each Assessed Property may not exceed an amount
that, when added to the amount of other hospital assessments levied by the state or local
government, exceeds the maximum percent of the aggregate net patient revenue of all Assessed
Hospitals in the County permitted by 42 C.F.R. § 433.68(f)(3)(i)(A). Assessments for each
Assessed Property will be derived from data contained in cost reports and/or in the Florida Hospital
Uniform Reporting System, as available from the Florida Agency for Health Care Administration.
Section 6. Timing and Method of Collection. The amount of the assessment is to be
collected pursuant to the Alternative Method outlined in §197.3631, Fla Stat.
The County shall provide Assessment bills by first class mail to the owner of each affected
Hospital. The bill or accompanying explanatory material shall include: (1) a reference to this
Resolution, (2) the total amount of the hospital's Assessment for the appropriate period, (3) the
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location at which payment will be accepted, (4) the date on which the Assessment is due, and (5) a
statement that the Assessment constitutes a lien against assessed property and/or improvements equal
in rank and dignity with the liens of all state, county, district or municipal taxes and other non-ad
valorem assessments.
No act of error or omission on the part of the Comptroller, Property Appraiser, Tax
Collector, Assessment Coordinator, Board, or their deputies or employees shall operate to
release or discharge any obligation for payment of the Assessment imposed by the Board under
the Ordinance and this resolution.
Section 7. Public Hearing. As required by §197.3631, Fla. Stat.,the Board has heard
and considered objections of all interested persons prior to rendering a decision on the Assessment
and attached Non-Ad Valorem Assessment Roll.
Section 8. Responsibility for Enforcement. The County and its agent, if any, shall
maintain the duty to enforce the prompt collection of the Assessment by the means provided herein.
The duties related to collection of assessments may be enforced at the suit of any holder of
obligations in a court of competent jurisdiction by mandamus or other appropriate proceedings or
actions.
Section 9. Severability. If any clause, section. or provision of this resolution is
declared unconstitutional or invalid for any reason or cause,the remaining portion hereof shall be in
full force and effect and shall be valid as if such invalid portion thereof had not been incorporated
herein.
Section 10. Effective Date.This Resolution to be effective immediately upon adoption.
This Resolution duly adopted this 26th day of September, 2023.
• Ph,
ATTEST BOARD OF COUNTY COMMISSIONERS
Crystal K, 7 inze ' Ierklof Courts COLLIER COUNTY, FLORIDA
B Yu y•
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- -
n.: s a to 'hairmrteputy_ lerk Rick LoCastro, Chairman
signature only
1
Approved as tor form and legality:
- v
I
Jeffrey A. E'.latzkow, County Attorney
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[Attachment- Assessment Roll]
MCD ID B Organization Facility Hospital Address Parcel N Rate Mandatory Payment
10314400 CMS Physicians Regional Medical Center•Pi 6101 Pine Ridge Rd.,Naples,FL 34119 80670080001 1.09%NPR S 3,855,801
10031500 NCH Healthcare System NCH Baker Hospital Downtown 350 7th St.N,Naples,FL 34102 14038880000 1.09%NPR S 6.642,259
104063 Oglethorpe The Willough at Naples 9001 Tamiami Trail East,Naples,FL 33862 55100120000 1.09%NPR 5 11,9.386
County Phone Number:(239)252-8999
BCC Address:Collier County Government Center,3299 Tamiami Trail East,Ste.303,Naples,FL 34112
Ordinance Date:June 22,2021
Resolution Date:September 26,2023
Disability Contact:Collier County Facilities Management Division at(239)252-8380
Mandatory Payments Due Date:Upon receipt of invoice
CAQ��
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Graduate Medical Education Letter of Agreement
THIS LETTER OF AGREEMENT (LOA)is made and entered into in duplicate on the z.6
day of St/#*6 2023, by and between Collier LPPF (the"IGT Provider")on behalf of Naples
Community Hospital, and theState of Florida, Agency for Health Care Administration (the
"Agency"), for good and valuable consideration, the receipt and sufficiency of which is
acknowledged.
DEFINITIONS
"Graduate Medical Education (GME)" is the term used for the Graduate Medical Education
Startup Bonus Program, established to provide resources for the education and training of
physicians in specialties that are in a statewide supply-and-demand deficit, as listed in the
General Appropriations Act, Laws of Florida 2021-036.
"Intergovernmental Transfers (IGTs)" means transfers of funds from a non-Medicaid
governmental entity (e.g., counties, municipalities, hospital taxing districts, providers operated
by state or local government)to the Medicaid agency. IGTs must be considered a bona fide
donation pursuant to 42 CFR §433.54.
"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.
A. GENERAL PROVISIONS
1. Per Senate Bill 2500, the General Appropriations Act of State Fiscal Year 2023-2024,
passed by the 2023 Florida Legislature, the Collier LPPF and the Agency agree that the
Collier LPPF will remit IGT funds to the Agency in an amount not to exceed the total of
$1,910,450.46. The Collier LPPF and the Agency have agreed that these IGT funds will
only be used in accordance with§409.909, Florida Statutes(2021).
2. The Collier LPPF will return the signed LOA to the Agency no later than October 1,
2023.
3. The Collier LPPF will pay IGT funds to the Agency in an amount not to exceed the total
of$1,910,450.46. The Collier LPPF will transfer payments to the Agency in the
following manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2023
through June 2024 are due to the Agency no later than October 31, 2023,
unlessan alternative plan is specifically approved by the agency.
b. The Agency will bill the Collier LPPF when payment is due.
4. The Collier LPPF and the Agency agree that the Agency will maintain necessary
records and supporting documentation applicable to the GME program covered by this
LOA in accordance with public records laws and established retention schedules.
Collier LPPF_GME LOA_SFY 2021-2022
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a. AUDITS AND RECORDS
i. The Collier LPPF agrees to maintain books, records, and documents (including
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. The Collier LPPF 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. The Collier LPPF agrees to comply with public record laws as outlined in
section 119.0701, Florida Statutes.
b. RETENTION OF RECORDS
i. The Collier LPPF 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 beretained
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. The Collier LPPF agrees to permit persons duly authorized by the Agency to
inspect any records, papers, and documents of the Collier LPPF which are
relevant to this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
i. The Collier LPPF 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 LPPF and the Agency agree that any modifications to this LOA shall bein
the same form, namely the exchange of signed copies of a revised LOA.
Collier LPPF_GME LOA_SFY 2021-2022
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1. The Collier LPPF 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 charity care supplemental payments in order
to satisfy non-Medicaid, non-uninsured, and non-underinsured activities.
2. The Collier LPPF agrees the following provision shall be included in any agreements
between the Collier LPPF 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."
3. This LOA covers the period of July 1, 2023, through June 30, 2024, and shall
be terminated September 30, 2024, which includes the states certified forward
period.
4. 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.
Collier LPPF_GME LOA_SFY 2021-2022
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GME Local Intergovernmental Transfers
Program /Amount State Fiscal Year 2023-2024
Estimated IGTs $1,910,450.46
Total Funding $1,910,450,46
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly authorized.
Collier LPPF STATE OF FLORIDA,AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED SIGNED
BY: Q,�,, � - BY:
NAME: ) fh 4kc r sbn NAME: Thomas Wallace
TITLE: �Dii r141 M t er TITLE: Deputy Director, Division
r per` Of Medicaid
DATE: 17_V J 2 UZ 3 DATE:
Collier LPPF_GME LOA_SFY 2021-2022
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Directed Payment Program Letter of Agreement
THIS LETTER OF AGREEMENT(LOA) is made and entered into in duplicate on the
day ofS4p402023, by and between (the"Collier County LPPF") on behalf of Region 8, and
the State of Florida, 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.
"Directed Payment Program (DPP)," pursuant to the General Appropriation Act, Laws of Florida
2021-156, is the program that provides direct supplemental payments to eligible public and private
entities that provide inpatient and outpatient services to Medicaid managed care recipients.
A. GENERAL PROVISIONS
1. Per Senate Bill 2500, the General Appropriations Act of State Fiscal Year 2023-2024,
passed by the 2023 Florida Legislature, the Collier County LPPF and the Agency agree
that the Collier County LPPF will remit IGT funds to the Agency in an amount not to exceed
the total of$11,295,409.35. The Collier County LPPF and the Agency have agreed that
these IGT funds will only be used for the DPP program.
2. The Collier County LPPF will return the signed LOA to the Agency.
3. The Collier County LPPF will pay IGT funds to the Agency in an amount not to exceed
the total of $11,296,409.35. The Collier County LPPF will transfer payments to the
Agency in the following manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2023
through June 2024 are due to the Agency no later than October 31, 2023, unless
an alternative plan is specifically approved by the agency.
b. The Agency will bill the Collier County LPPF when payment is due.
4. The Collier County LPPF 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 LPPF agrees to maintain books, records,and documents(including
electronic storage media) pertinent to performance under this LOA in accordance
Collier County LPPF_Region 8_DPP LOA_SFY 2023-24
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with generally accepted accounting procedures and practices, which sufficiently
and properly reflect all revenues and expenditures of funds provided.
ii. Collier County LPPF 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 LPPF agrees to comply with public record laws as outlined in
section 119.0701, Florida Statutes.
b. RETENTION OF RECORDS
i. The Collier County LPPF 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 LPPF agrees to permit persons duly authorized by the Agency to
inspect any records, papers, and documents of the Collier County LPPF which are
relevant to this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
i. The Collier County LPPF 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 LPPF 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 LPPF 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 LPPF_Region 8_DPP LOA_SFY 2023-24
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7. Collier County LPPF agrees the following provision shall be included in any agreements
between Collier County LPPF 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, 2023, through June 30, 2024, and shall be
terminated September 30, 2024, which includes the states certified forward period.
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.
DPP Local Intergovernmental Transfers
Program /Amount 1 State Fiscal Year 2023-2024
Estimated IGTs1 $11,295,409.35
Total Funding Not to Exceed $11,295,409.35
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly authorized.
Collier County LPPF STATE OF FLORIDA,AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNEDbilyt
SIGNED
BY: f� BY:
NAME: Ah'ty t Pa44ePson NAME: Thomas Wallace
TITLE: TITLE: Deputy Secretary, Division of
091n t'r Medicaid
DATE: `"( /2.8 1 202,3 DATE:
Collier County LPPF_Region 8 DPP LOA_SFY 2023-24
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