Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - October 25, 2016
REVISED October 25, 2016 - Regular Meeting
Agenda Item #50

Agency for Health Care Administration Low Income Pool Agreement

Briefing Provided Upon Request

Contact and/or Presenter Information
Karen Windon, Deputy County Administrator x3799

Action Requested

Authorization for the Chairman to execute a Letter of Agreement (LOA) with the Agency for Health Care Administration (AHCA) for the SFY 2016-2017 Low Income Pool (LIP) program; permitting electronic signature by Neighborhood Services Department Director.

Adoption of Budget Amendment Resolutions B-16-093 and B-17-012.

Enabling/Regulating Authority
Florida Statutes Chapter 125

Background Discussion
  • This agreement allows Manatee County to submit funds to the Agency for Health Care Administration (AHCA) to be used to increase the provision of health services for charity care of the county and state. The LIP funding proposed by the State is to be used exclusively for the uninsured, the under-insured and for State Medicaid funding shortfalls.  
  • Two budget resolutions are included as the state fiscal year does not coincide with the county fiscal year. Through the attached budget amendment (B-16-093), FY 2015-2016 funds will be budgeted and transferred from General Fund in the amount of $125,000. Through the attached budget amendment (B-17-012), FY 2016-2017 funds will be budgeted and transferred from General Fund in the amount of $375,000.
  • The attached Letter of Agreement (LOA) has been developed by AHCA based upon applicable rules and standards. 
  • The current program extension represents a lower overall reimbursement for local disproportionate share (DSH) providers than what was funded in prior years but the one-year extension (after a one year absence) provides relief to local providers who have continued to serve the community as a safety net provider.  The amount of funding awarded to Manatee Memorial Hospital (MMH) was $8.4 million and MMH was deemed to be a tier 2 awardee (out of 4 tiers of awardees with tier 1 representing the largest of the urban safety net hospitals providing very large amounts of uncompensated care to tier 4 as smaller Medicaid and charity hospitals who did not carry as great an uncompensated care burden but who still were at substantial risk).

County Attorney Review
Not Reviewed (No apparent legal issues)

Explanation of Other

Reviewing Attorney

Instructions to Board Records

RUSHED ITEM - Please contact Community Services for pick-up, Joshua Barnett at x 3978

The original Letter of Agreement will be returned to Board Records when received from AHCA.

Copies of the approved resolutions are to be forwarded to budget@mymanatee.org.

Cost and Funds Source Account Number and Name
$500,000 General Fund 001.0015403

Amount and Frequency of Recurring Costs

Attachment:  B-16-093 FY16-17 125 LIP Agreement.pdf
Attachment:  B-17-012 FY16-17 375 LIP Agreement.pdf
Attachment:  500 Manatee County_101168_Manatee Memorial Hospital_LIP_LOA SFY 2016-17.pdf