Agenda 04/08/2025 Item #16D 2 (MOU between Collier County and Collier Health Services, Inc. (CHSI) d/b/a Healthcare Network of Southwest Florida to support the low-income pool program)4/8/2025
Item # 16.D.2
ID# 2025-842
Executive Summary
Recommendation to approve and authorize the Chairman to sign a MOU between Collier County and Collier Health
Services, Inc., (CHSI) d/b/a Healthcare Network of Southwest Florida, to support the low-income pool program for
health prevention and medical services for uninsured and underinsured low-income Collier residents.
OBJECTIVE: To provide health care and prevention services to the uninsured and underinsured low-income citizens of
Collier County and to help meet the County’s strategic objective of promoting access to health, wellness and human
services to benefit Collier County residents.
CONSIDERATIONS: The Agency for Health Care Administration (AHCA) is a State entity that provides Medicaid
services in Florida and operates the Medicaid Low Income Pool (LIP) Program. The LIP Program leverages local funds
to obtain federal matching dollars. The County will participate in the LIP Program as outlined in the attached LIP Letter
of Agreement between Collier County and AHCA, approved by the Board on September 24, 2024, Agenda #16.D.6.
Collier Health Services, Inc. will utilize the total funds under the LIP Program to provide healthcare services for
uninsured and underinsured low-income individuals in Collier County. The proposed MOU requires that CHSI provide
health care and prevention services and medical payments to citizens of Collier County. Since the funds were provided
directly to AHCA, it is necessary for the County to ensure compliance thus necessitating a MOU to ensure that the
dollars being provided are providing the necessary services to the required population. The MOU period is from October
1, 2024, through September 30, 2025. The MOU requires CHSI to report the number of residents served each quarter
and their corresponding service units.
On September 24, 2024, Agenda #16.D.6., the BCC approved the General Fund allocation of $543,345 to AHCA in
support of the LIP program and to provide the support to CHSI. The local LIP contribution will provide the CHSI with
$347,455 in federal matching dollars to be utilized under the LIP program. Collier Health Services will receive a total of
$890,800 in LIP funding to support health care and prevention services for uninsured and underinsured low-income
individuals in Collier County.
The allocation of County and LIP matching funds is as follows:
Collier County
LIP IGT
Federal Matching Funds Provided
to CHSI as Program Administrator
Total Funds Benefiting
Low-Income Persons
$543,345.00 $347,455 $890,800
Promoting access to health, wellness and human services to benefit Collier County residents.
FISCAL IMPACT: There is no new fiscal impact. Funding of $543,345.00 is available within Community & Human
Services (CHS) FY25 General Fund (0001), Community Mental Health & LIP Support Cost Center 156010.
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and
legality and requires a majority vote for Board approval. -JAK
RECOMMENDATIONS: Recommendation to approve and authorize the Chairman to sign a MOU between Collier
County and Collier Health Services, Inc., (CHSI) d/b/a Healthcare Network of Southwest Florida, to support the low-
income pool program for health prevention and medical services for uninsured and underinsured low-income Collier
residents.
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4/8/2025
Item # 16.D.2
ID# 2025-842
PREPARED BY: Carolyn Noble
ATTACHMENTS:
1. MOU - State Mandated Low Income Pool 24-25 - CAO appvd
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