Agenda 09/26/2017 Item #11B09/26/2017
EXECUTIVE SUMMARY
Recommendation to approve an agreement in the amount of $544,690 with the Agency for Health
Care Administration (AHCA) and an agreement with Collier Health Services, Inc. (CHSI) to
participate in the Medicaid Low Income Pool (LIP) Program, generating $874,513 in federal
matching funds that will provide additional health services for the citizens of Collier County.
OBJECTIVE: To provide additional health services to the low-income citizens of Collier County.
CONSIDERATIONS: AHCA is a State entity that provides Medicaid services in Florida and operates
the LIP Program. The LIP Program leverages local funds to obtain federal matching dollars. Unlike
previous years in which the County made quarterly payments to AHCA, the entire Collier County
contribution must be made by October 31, 2017. The County's participation in the LIP program is
outlined in the contractual arrangement between Collier County and Agency for Health Care
Administration which is presented as part of this item.
CHSI desires and is qualified to administer the LIP Program with AHCA using County ad valorem tax
dollars.
The allocation of County and matching funds is as follows:
Collier County Budgeted
Funds for Medical Assistance
Matching Funds Provided to CHS
as Program Administrator
Total Funds Benefiting
Low-Income Persons
$544,690 $874,513 $1,419,203
CHSI will voluntarily make the following payments from the total funds: $125,000 for eligible services
managed and approved by County staff [pursuant to Florida Statute 125.01 (e) health and welfare
programs, and as approved in the annual county budget as Medical Assistance], $434,988 to the David
Lawrence Center (DLC), and $68,640 to the National Alliance for Mental Illness (NAMI). CHSI will
utilize all remaining funds to provide additional healthcare services for low-income individuals in Collier
County. An agreement that outlines the contractual arrangement between Collier County and CHSI on
behalf of Collier Health Services, Inc., is presented as part of this item. Thi s agreement includes the three
aforementioned payments to be made by CHSI.
In addition to the agreements with AHCA and CHSI, the County will also have agreements that are
separate and apart with the DLC and the NAMI. On October 24, 2017, staff will present agreements with
the DLC and the NAMI for board consideration. CHSI will also have voluntary arrangements to fund the
DLC and the NAMI.
FISCAL IMPACT: Under the terms of the agreements, the County will transfer $544,690 to the State of
Florida Agency for Healthcare Administration by October 31, 2017. Funding will be provided from the
FY 18 Client Assistance Budget (001-155930) within the Community and Human Services Division.
GROWTH MANAGEMENT IMPACT: There is no growth management impact.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires majority vote
for approval. -JAB
RECOMMENDATION: To approve and authorize the Chairman to sign the agreement with Collier
Health Services, Inc. and the agreement with AHCA.
11.B
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09/26/2017
Prepared By: Maggie Lopez, Accounting Supervisor, Community and Human Services Division
ATTACHMENT(S)
1. FY17 AHCA LOA (PDF)
2. FY17 LIP agreement wCHSI r-1 (PDF)
11.B
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09/26/2017
COLLIER COUNTY
Board of County Commissioners
Item Number: 11.B
Doc ID: 3769
Item Summary: Recommendation to approve an agreement in the amount of $544,690 with the
Agency for Health Care Administration (AHCA) and an agreement with Collier Health Services, Inc.
(CHSI) to participate in the Medicaid Low Income Pool (LIP) Program, generating $874,513 in federal
matching funds that will provide additional health services for the citizens of Collier County. (Kim
Grant, Community and Human Services Director)
Meeting Date: 09/26/2017
Prepared by:
Title: – Public Services Department
Name: Todd Henry
09/20/2017 10:55 AM
Submitted by:
Title: Department Head - Public Services – Public Services Department
Name: Steve Carnell
09/20/2017 10:55 AM
Approved By:
Review:
Community & Human Services Michael Cox Additional Reviewer Skipped 09/20/2017 10:55 AM
Operations & Veteran Services Michael Cox Additional Reviewer Skipped 09/20/2017 10:56 AM
Public Services Department Michael Cox Level 1 Division Reviewer Skipped 09/20/2017 10:56 AM
Public Services Department Michael Cox Additional Reviewer Skipped 09/20/2017 10:56 AM
Public Services Department Michael Cox Level 2 Division Administrator Review Skipped 09/20/2017 10:56 AM
County Attorney's Office Michael Cox Level 2 Attorney of Record Review Skipped 09/20/2017 10:57 AM
Office of Management and Budget Michael Cox Level 3 OMB Gatekeeper Review Skipped 09/20/2017 10:58 AM
Budget and Management Office Ed Finn Additional Reviewer Completed 09/20/2017 12:56 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 09/20/2017 4:02 PM
County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 09/20/2017 4:58 PM
Board of County Commissioners MaryJo Brock Meeting Pending 09/26/2017 9:00 AM
11.B
Packet Pg. 323
11.B.1
Packet Pg. 324 Attachment: FY17 AHCA LOA (3769 : Additional Health Services for Low-Income Citizens)
11.B.1
Packet Pg. 325 Attachment: FY17 AHCA LOA (3769 : Additional Health Services for Low-Income Citizens)
11.B.1
Packet Pg. 326 Attachment: FY17 AHCA LOA (3769 : Additional Health Services for Low-Income Citizens)
11.B.1
Packet Pg. 327 Attachment: FY17 AHCA LOA (3769 : Additional Health Services for Low-Income Citizens)
11.B.2
Packet Pg. 328 Attachment: FY17 LIP agreement wCHSI r-1 (3769 : Additional Health Services for Low-Income Citizens)
11.B.2
Packet Pg. 329 Attachment: FY17 LIP agreement wCHSI r-1 (3769 : Additional Health Services for Low-Income Citizens)
11.B.2
Packet Pg. 330 Attachment: FY17 LIP agreement wCHSI r-1 (3769 : Additional Health Services for Low-Income Citizens)
11.B.2
Packet Pg. 331 Attachment: FY17 LIP agreement wCHSI r-1 (3769 : Additional Health Services for Low-Income Citizens)
11.B.2
Packet Pg. 332 Attachment: FY17 LIP agreement wCHSI r-1 (3769 : Additional Health Services for Low-Income Citizens)
11.B.2
Packet Pg. 333 Attachment: FY17 LIP agreement wCHSI r-1 (3769 : Additional Health Services for Low-Income Citizens)