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Agenda 09/09/2025 Item #16D9 (Low Income Pool Letter of Agreement with the Agency for Health Care Administration, to participate in the Medicaid Low Income Pool Program)9/9/2025 Item # 16.D.9 ID# 2025-2809 Executive Summary Recommendation to approve the Low Income Pool Letter of Agreement with the Agency for Health Care Administration, in the amount of $732,403.27 to participate in the Medicaid Low Income Pool Program, (b) authorize an additional allocation of $111,592.27 to allow for the maximum allocation of federal matching funds, (c) authorize the County Manager to execute and submit the Low Income Pool agreement and the required Provider Questionnaire and (d) authorize the necessary Budget Amendment. (Fiscal Impact $732,403.27) OBJECTIVE: To provide additional health care services to the low-income citizens of Collier County and further the County’s strategic plan focus area of supporting access to health, wellness and human services. 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's participation in the LIP Program is outlined in the attached LIP Letter of Agreement between Collier County and AHCA. AHCA requested that the County execute the LIP Letter of Agreement using DocuSign; therefore, staff is requesting that the Board of County Commissioners (Board) authorize the County Manager to execute and submit the agreement and IGT Provider Questionnaire. Healthcare Network of Southwest Florida (Healthcare Network) desires and is qualified to administer the LIP Program with AHCA using County ad valorem tax dollars. These funds may only be allocated to those Federally Qualified Health Centers (FQHC). In FY 25 Healthcare Network provided $6,162,500 in charity care. Currently, FY 26 has budgeted $620,811 to support the LIP program and this would yield a federal match of $830,360.21, with the additional $111,592.27 the federal match would increase the funds made available to Collier County residents by $260,851.52. The allocation of County and matching funds is as follows: Collier County FY 26 Budget Allocation FY 26 Additional Funds Requested Collier County Proposed LIP IGT Federal Matching Funds Provided to CHSI as Program Administrator Total Funds Benefiting Collier County Residents $ 620,811 N/A N/A $830,360.21 $1,451,171.21 $ 620,811 $111,592.27 $732,403.27 $979,619.46 $1,712,022.73 Healthcare Network will utilize the total funds under the LIP Program to provide additional healthcare services for low- income individuals in Collier County. An agreement that outlines the contractual arrangement between Collier County and Healthcare Network will be presented at a future board date. Healthcare Network will make payments in an amount not to exceed $200,000 for eligible medical services to eligible residents authorized by County staff. Furthers the County’s strategic plan focus area of supporting access to health, wellness and human services FISCAL IMPACT: In FY 2026, a budget amendment is required to reallocate funding in the amount of $111,592.27 within the General Fund from Contributions to Grants cost center (969010-0001) to Community & Human Services (CHS) Mental Health cost center (156010-0001) to cover the full IGT amount of $732,403.27 for the County’s contribution payment to the State of Florida Agency for Healthcare by October 31, 2025. The County funds will generate $979,619.46 in federal matching funds for the benefit of Collier Health Services to assist in meeting the state match obligation. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action. Page 1575 of 2661 9/9/2025 Item # 16.D.9 ID# 2025-2809 LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and legality, and requires majority vote for Board approval. -JAK RECOMMENDATIONS: Approve the Low Income Pool Letter of Agreement with the Agency for Health Care Administration, in the amount of $732,403.27 to participate in the Medicaid Low Income Pool Program, (b) authorize an additional allocation of $111,592.27 to allow for the maximum allocation of federal matching funds, (c) authorize the County Manager to execute and submit the Low Income Pool agreement and the required Provider Questionnaire and (d) authorize the necessary Budget Amendment. (Fiscal Impact $732,403.27) PREPARED BY: Carolyn Noble. Grant Coordinator, Community & Human Services Division ATTACHMENTS: 1. LIP LOA Healthcare Network 8.26.25 CAO Signed 2. LIP IGT_Provider_Questionnaire CNkf 3. BA 156010 Page 1576 of 2661 Low lncome Pool Letter of Agreement THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the _ day d-2025. by and between Collier County BoCC (the "lGT Providei') on behalf of Healthcare Network 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. DEFIN ITIONS "Charity care" or "uncompensated charity care" means that portion of hospital charges reported to the Agency for which there is no compensation, other than restricted or unrestricted revenues provided to a hospital by local governments or tax diskicts, regardless of the method of payment. Uncompensated care includes charity care for the uninsured but does not include uncompensated care for insured individuals, bad debt. or Medicaid and Children's Health lnsurance Program (CHIP) shortfall. The state and providers that are participating in the Low Income Pool (LlP) will provide assurance that LIP claims include only costs associated with uncompensated care that is furnished through a charity care program and that adheres to the principles of the Healthcare Financial Management Association (HFlilA) operated by the provider. "Low lncome Pool (LlP)" means providing government support for safety-net providers for the costs of uncompensated charity care for low-income individuals who are uninsured. Uncompensated care includes charity care for the uninsured but does not include uncompensated care for insured individuals, "bad debt," or Medicaid and CHIP shortfall. "Medicaid" means the medical assistance program authorized by Title XIX of the Social Security Act, 42 U.S.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 2025- 2026, passed by the 2025 Florida Legislature, the IGT Provider and the Agency agree that the IGT Provider will remit IGT funds to the Agency in an amount not to exceed the total of $732,403.27. a The IGT Provider and the Agency have agreed that these IGT funds will only used to increase the provision of health services for the charity care of the lG Provider and the State of Florida at large. b. The increased provision of charity care health services will be accomplished through the following Nledicaid programs: be T Collier County Bocc_Healthcare Network LIP LOA SFY 2025-26 " lntergovernmental Transfers (lGTs)" means transfers of funds from a non-l\4edicaid governmental entity (e 9., counties, hospital taxing districts, providers operated by state or local government) to the Medicaid agency. lGTs must be compliant with 42 CFR Part 433 Subpart B. i. LIP payments to hospitals, federally qualified health centers, Medical School Physician Practrces, community behavioral health providers, and Page 1577 of 2661 rural health centers pursuant to the approved Centers for lvledicare & Medicaid Services Special Terms and Conditions. 2. The IGT Provider will return the signed LOA to the Agency no later than October 1, 2025. 3. The IGT Provider will pay IGT funds to the Agency in an amount not to exceed the total o'f $732,403.27. Per Florida Statute 409.908, annual payments for the months of July 2025 through June 2026 are due to the Agency no later than October 31, 2025, unless an alternative plan is specifically approved by the agency. b. The Agency will bill the IGT Provider when payment is due 4. The IGT Provider and the Agency agree that the Agency will maintain necessary records and supporting documentation applicable to health services covered by this LOA. a. Audits and Records The IGT Provider 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 IGT Provider agrees to ensure 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 IGT Provrder agrees to comply with public record laws as outlined in section 1 19.0701 , Florida Statutes. b, Retention of Records The IGT Provider agrees to retain all financial records, supporting documents, statistical records, and any olher documents (including electronic storage media) pertrnent 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. a Collier County BoCC_Healthcare Network_LlP LOA SFY 2025-26 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. Page 1578 of 2661 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 Ivlonitoring i. The IGT Provider agrees to permit persons duly authorized by the Agency to inspect any records, papers, and documents of the IGT Provider which are relevant to this LOA. d. Assignmenl and Subcontracts 5. This LOA may only be amended upon written agreement signed by both parties. The IGT Provrder 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. The IGT Provider confirms that there are no pre-arranged agreements (contractual or otherwise) between the respective counties, taxing districts, and/or the providers to redirect any portron of these aforementioned charity care supplemental payments in order to satisfy non-lvledicaid, non-uninsured, and non-underinsured activities. 7. The IGT Provider agrees the following provision shall be included in any agreements belween the IGT Provider 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 (inctuding LIP or DSH) and used secondarily for other purposes." 8. This LOA covers the period of July 1, 2025, through June 30. 2026, and shall be terminated September 30, 2026, which includes the state's 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 teast one counterpart. Col er County BoCC_Healthcare Network LIP LOA SFY 2025-26 i. The IGT Provider 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. Page 1579 of 2661 LIP Local lntergovernmental Transfers (lGTs) Program / Amount State Fiscal Year 2025-2026 Estimated lGTs $732,403.27 Total Funding Not to Exceed $732,403.27 WITNESSETH: lN WITNESS WHEREOF, the parties have caused this (4) page Letter of Agreement to be executed by their undersigned officials as duly authorized. COLLIER COUNTY BOCC STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION SIGNEO BY: NAME: TITLE: DATE: SIGNED BY: NAME: TITLE: Stephanie Scanlon Chief of Medicaid Program Finance a DATE: and legality County Attomey II V Collier County BoCC_Healthcare Network LIP LOA SFY 2025-26 Jeffrcy Page 1580 of 2661 Intergovernmental Transfers Questionnaire IGT Provider Name:Collier County Health Care Provider Name:Healthcare Network of Southwest Florida IGT Amount: $732,403.27 State Fiscal Year Ending: 6/30/2026 1. What type of governmental entity is your organization considered? (county, city, hospital taxing district, or other) County If other, please explain 2.Does your organization have a relationship with the provider for which you contribute IGTs as named in the preamble of the enclosed Letter of Agreement (LOA)? Yes If yes, please describe your relationship, including services provided to/by the provider to/by the organization and any other financial transactions between the provider and the organization. The County provides IGT to Healthcare Network of Southwest Florida.  They are also a subrecipient of our grant programs providing healthcare services to citizens of Collier County. 3.Please describe the source of the IGT funding for your organization, including whether the source is from a tax, a provider donation, or other funds. Provide the amount of funding from each source. Source Amount General Fun Ad Valorem Tax $732,403 $- $- If other, please explain a.Verify whether the funds are public funds as defined by 42 CFR § 433.51, and exclude any federal funds. Yes If no, please explain 4.Does your organization have taxing authority? Page 1581 of 2661 Yes 5.  If the source of IGT funding is from taxes, please answer the following questions: a.Is the tax a state, county, city, or hospital district tax? County If other, please explain b.What entities are taxed? Property Owners in Collier County c.What is the tax structure (i.e. property tax, percentage of revenue, assessment, etc.)? Ad Valorem/Property Tax d.What is the amount or percent of the tax? 3.5645 per $1000 value e.Does at least 85% of the burden of the tax revenue fall on health care providers as defined in 42 CFR §433.55? (Provide the total tax revenue and the health care provider tax burden) If so, please answer the following questions: Amount Total Tax Burden $- Healthcare Provider Tax Burden $- 0.00% i)Is the tax broad based? A broad based tax can be defined as a tax that is imposed on at least all health care items or services in the class or providers of such items or services furnished by all non-Federal, non-public providers in the State, and is imposed uniformly, pursuant to 42 CFR § 433.68. No If no, please explain Page 1582 of 2661 ii)Is the tax uniform across all entities being taxed? Based on 42 CFR § 433.68, a health care- related tax will be considered to be imposed uniformly even if it excludes Medicaid or Medicare payments (in whole or in part), or both; or in the case of health care-related tax based on revenue or receipts with respect to a class of items or services, if it excludes either Medicaid or Medicare revenue with respect to a class of items or services, or both. The exclusion of Medicaid revenue must be applied uniformly to all providers being taxed. No If no, please explain The tax is general property tax. iii)Is the tax generally redistributive and a waiver of the broad-based or uniform tax requirement was granted in accordance with 42 CFR §433.68(e)? No If no, please explain The tax is general property tax. iv)Does the tax program comply with the hold harmless provisions included in 42 CFR § 433.68(f)? No If no, please explain The tax is general property tax. v)Does every tax paying entity receive a supplemental payment equal to or exceeding its tax cost?  If yes, please explain 6.Please answer the following regarding provider funds received from the healthcare entity and/or other health care entities. a.Are provider voluntary payments or in-kind services received by the organization as defined in 42 CFR § 433.52? No b.How much of the organization’s revenue is received from provider-related donations (Provide the total revenue and the provider-related donation amounts)? Amount Total Revenue $- Provider Related Donations $- c.Do individual provider donations exceed $5,000 per year or $50,000 per year for a health care organizational entity? No Page 1583 of 2661 If yes, please list the provider and payment amount. Provider Name Funding Source Amount $- $- $- d.Does any portion of the provider donation constitute as a “bona fide donation” pursuant to 42 CFR § 433.54? 42 CFR § 433.54 requires donations will not be returned to the individual provider, the provider class, or related entity under a hold harmless provision. No e.Is there an agreement between the IGT provider and the health care entity?  If so, please specify whether the agreement is written and provide the details. 7.Were funds utilized for the IGT specifically appropriated by the organization's board? Yes  If yes, provide the board minutes and date of the appropriation. I Amy Patterson certify that the statements and information contained   in this submittal are true, accurate, and complete. Signature of Officer or Administrator Title Date Page 1584 of 2661