Resolution 2010-060
RESOLUTION NO. 201O-~
A RESOLUTION BY THE COLLIER COUNTY BOARD OF COUNTY
COMMISSIONERS: (1) ATTESTING AS TO THE AUTHORITY OF THE
BOARD TO ADMINISTER THE COUNTY'S AFFAms, INCLUDING THE
RESPONSffiILITY FOR OVERSIGHT OF MEDICARE AS REQUIRED IN
SECTION 5 OF THE CMS MEDICARE 855B APPLICATION, (2)
ATTESTING TO THE COUNTY'S LEGAL AND FINANCIAL
RESPONSffiILITY FOR OUTSTANDING DEBT OWED TO CMS AS A
RESULT OF THE FILING AND RECEIVING OF PAYMENTS
ASSOCIATED WITH COLLIER EMSIFIRE GROUND AND Am
RESPONSE UNIT RELATED CLAIMS, (3) DESIGNATING THE BOARD'S
CHAm TO PROVIDE ANY CMS REQUIRED CERTIFICATIONS AND
ASSURANCES; AND (4) PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the Board of County Commissioners of Collier County is the
governing body in and for Collier County, Florida, a political subdivision of the State
of Florida; and
WHEREAS, Florida Statutes S 125.01(1) grants broad legislative and governing
powers to county governments including performing any acts not inconsistent with
law that are in the common interest of the county that includes the provision of
ambulance, health and welfare programs; and
WHEREAS, the County's .billing provider for its EMS program, ADPI-
Intermedix (Intermedix Corporation), is requesting an attestation of the County's
authorization to participate in the Medicare program as required by the Centers for
Medicare and Medicaid Services ("CMS"); and
WHEREAS, in order to insure the timely processing and reimbursement of
payment for Medicare related claims filed in connection with the provision of
emergency medical services by Collier EMS, the County hereby attests as to its
authorization to participate in the Medicare program.
NOW THEREFORE, BE IT RESOLVED by the Board of County
Commissioners, Collier County, Florida, that:
1. Attestation as to the Authority to Administer the County's Affairs: The
Collier County Board of Commissioners is lawfully authorized to administer the
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County's affairs, including the responsibility for oversight of Medicare as required
in Section 5 of the CMS Medicare 855B application.
2. Attestation as to the County's Lee:al and Financial Resoonsibility as a
Medicare Proe:ram Particioant: The Collier County Board of
Commissioners attests that the County is legally and financially responsible
for any outstanding debt owed to CMS as a result of the filing and receiving
of payments associated with Collier EMS/Fire ground and air response unit
related claims.
3. Certifications and Assurances. The Chair or the Board's designee is
authorized to execute and file on the Board's behalf any CMS required
attestations, certifications and/or assurances to maintain compliance with its
participation in the Medicare program.
4. Effective Date of Resolution. This Resolution adopted after motion, second
and majority vote favoring same, this 23rd day of March, 2010.
ATTEST:
DWIGHl:. E: 'BB.Qc~\ Clerk
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By: . .' ~OC
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BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: "~A_ ..J. IN. (
FRED W. COYLE, Chai
:!:v* as ;;7~ffiCienCY:
Scott Teach
Deputy County Attorney
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