Resolution 2020-160 RESOLUTION NO. 2020- 1 60
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY,FLORIDA,TO AUTHORIZE COLLIER COUNTY
EMERGENCY MEDICAL SERVICES TO PARTICIPATE IN
INTERGOVERNMENTAL TRANSFERS WITH THE STATE OF
FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION AND
THE SUPPLEMENTAL PAYMENT PROGRAM FOR MEDICAID
MANAGED CARE PATIENTS; AUTHORIZING THE CHAIRMAN TO
EXECUTE ALL REQUIRED AGREEMENTS AND DOCUMENTS TO
PARTICIPATE IN INTERGOVERNMENTAL TRANSFERS ANI) THE
SUPPLEMNTAL PAYMENT PROGRAM FOR MEDICAID MANAGED
CARE PATIENTS SUBJECT TO BOARD RATIFICATION.
WHEREAS, Collier County provides emergency ambulance transportation services
throughout Collier County; and
WHEREAS, the State of Florida has created a supplemental payment program for
Medicaid managed care patients who are transported to the hospital by public emergency
medical transportation providers and has appropriated an additional $54 million for this
program; and
WHEREAS, Collier County Emergency Medical Services ('`EMS") transports more
than 1,500 Medicaid managed care patients annually to hospitals and receives approximately
$1 63 per patient for this service; and
WHEREAS, by participating in the supplemental payment program for Medicaid
managed care patients. EMS can substantially increase its Medicaid managed care patient
transport revenue and provide better services to the community,
NOW THEREFORE, IT IS RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,that:
1. Authorizes EMS to participate in intergovernmental transfers with the State of
Florida Agency Health Care Administration and the supplemental payment program for
Medicaid managed care patients.
2. Authorizes the Collier County Chairman to execute any and all agreements and
documents necessary for EMS to participate in intergovernmental transfers or the Medicaid
managed care supplemental payment program subject to ratification by this Board.
rot a
1
THIS RESOLUTION ADOPTED on this 40(af , nt1w 2020 after
motion, second and majority vote favoring adoption.
ATTEST,, '..• BOARD OF COUNTY COMMISSIONERS
CRYST41, K. KINLFd.:Q•CERK COLLIER COUNTY, FLORIDA
y:
Attes to Chairmar7xu I 9EIJ B
K BURT L. SAUNDERS CHAIRMAN
signature only.
Approved as to form and
legal
C
Jennifer A. Belpedio a0
Assistant County Attorney ��
Coo
2
Public Emergency Medical Transportation Letter of Agreement
THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the aar
day of .2020, by and between Collier County on behalf of Collier County EMS, and
the State of lorida, 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.
•Public Emergency Medical Transportation (PEMT)." pursuant to the General Appropriation Act.
Laws of Florida 2020-111, is the program that provides supplemental payments for eligible Public
Emergency Medical Transportation (PEMT) entities that meet specified requirements and provide
emergency medical transportation services to Medicaid beneficiaries.
A. GENERAL PROVISIONS
1. Per House Bill 5001. the General Appropriations Act of State Fiscal Year 2020-2021,
passed by the 2020 Florida Legislature. Collier County and the Agency agree that Collier
County will remit IGT funds to the Agency in an amount not to exceed the total of
S306,352.16 Collier County and the Agency have agreed that these IGT funds will only
be used for the PEMT program.
2. Collier County will return the signed LOA to the Agency.
3. Collier County will pay IGT funds to the Agency in an amount not to exceed the total of
S306,352.16. Collier County will transfer payments to the Agency in the following
manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2020 thru
June 2021 are due to the Agency no later than October 31. 2020 unless an
alternative plan is specifically approved by the agency.
b. The Agency will bill Collier County when payment is due.
4. Collier County 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 agrees to maintain books. records, and documents (including
Co iiei Ccu^ty_Co her Ccu^ty EMS_PEMT LOA_SFY 2020-21
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. Collier County 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 agrees to comply with public record laws as outlined in section
119.0701, Florida Statutes.
b. RETENTION OF RECORDS
i. The Collier County 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 agrees to permit persons duly authorized by the Agency to inspect
any records, papers, and documents of the Collier County which are relevant to
this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
i. The Collier County 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 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 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.
Co her County_Co!lier County EMS_PEMT LOA_SFY 2020-21
7 Collier County agrees the following provision shall be included in any agreements
between Collier County 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. 2020 through June 30. 2021 and shall be terminated
June 30. 2021.
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.
PEMT Local Intergovernmental Transfers l
Program /Amount J State Fiscal Year 2019-2020
Minimum Fee Schedule/MCO IGTs
$306,352.16
Total Funding
$306,352.16_i
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly authorized.
Collier County STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED 4,(„z; �'. �.�`` SIGNED .
BY: BY:
NAME: Burt L. Saunders
NAME:
TITLE: Chairman
TITLE:
DATE: q\221aoao DATE:
I l- I Approved as t0 Corm and I , alit
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Cci'e-County Col:ie'County EMS_PEMT LOA_SFY 202C-21