Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - September 23, 2014
REVISED September 23, 2014 - Regular Meeting
Agenda Item #47

1:30 P.M. TIME CERTAIN: Health Care Funding


Contact and/or Presenter Information

Karen Windon, Deputy County Administrator, x3799   

Brenda Rogers, Director
Community Services Department, x3489

Action Requested

Adoption of Resolution R-14-145 and authorization for the County Administrator to execute one (1) agreement with Manatee Healthcare Systems (Manatee Memorial Hospital) for $4,700,000, and one (1) agreement with Blake Medical Center for $670,000.

Authorization for the Chairman to execute one (1) agreement with Manatee County Rural Health Services for $41,532, one (1) Memorandum of Understanding with Manatee County Rural Health Services to provide for LIP program funding of $752,638, Budget Amendment Resolution B-14-082, and five (5) Letters of Agreement (2 for Manatee Memorial Hospital, 1 for Blake Medical Center, 2 for Manatee County Rural Health Services) with the Agency for Health Care Administration (AHCA) for the Intergovernmental Transfer Program (IGT), to increase the provision of health care services for Medicaid, uninsured and underinsured persons in Manatee County for the time period July 1, 2014 - September 30, 2015.

Enabling/Regulating Authority
F.S. Chapter 125

Background Discussion
  • At the September 9, 2014, Board of County Commissioners Regular Meeting, it was requested that funding be budgeted to allow Manatee County Health Care Providers to draw down state and federal dollars through the IGT/LIP programs.
  • $4,700,000 is recommended to be allocated to fund Manatee Memorial Hospital.
  • $670,000 is recommended to be allocated to fund Blake Medical Center.
  • $794,170 is recommended to be allocated to fund Manatee County Rural Health Services.
  • $1,000,000 is recommended to be allocated for Physician Payments
  • Agreements between the County and Health Care Providers (Manatee Memorial Hospital, Blake Medical Center, Manatee County Rural Health Systems, and Physicians) will be for the time period October 1, 2014-September 30, 2015. 
  • The LIP agreements are issued on the State Fiscal Year (July 1-June 30). Budget Amendment Resolution B-14-082 provides for funding of the first quarter payment (July 1-September 30, 2014) from reserves accrued under the current agreement.
  • The LIP Letters of Agreement are due back to AHCA by October 1, 2014.
  • In October 2004, the Manatee County Board of County Commissioners approved County participation with the State of Florida Agency for Health Care Administration (AHCA) Matching Programs Upper Payment Limit, Intergovernmental Transfer Program.  This participation allowed for additional funding to come into Manatee County for expansion of healthcare services for Medicaid, uninsured and underinsured residents of Manatee County.  Manatee County has participated on an annual basis utilizing funds currently budgeted for the Manatee County health care providers.
  • Through the Letters of Agreement, the FY2014 approved County funds will be forwarded to AHCA.  In turn, AHCA matches the County funds.  This action then provides for additional Federal funds to be drawn down by the State, and made available to the local health care provider.  
  • The format of the FY2014-2015 Letters of Agreement has been developed by AHCA based on applicable rules and standards. The County has executed this form of the Letter of Agreement as standard practice in the past and in current years.  
  • Manatee Memorial Hospital, Blake Medical Center, and Manatee County Rural Health Services provide periodic, scheduled reports to Community Services Department staff regarding indigent healthcare services provided.

County Attorney Review
Other (Requires explanation in field below)

Explanation of Other

Resolution and hospital agreements reviewed by R. Eschenfelder, MOU substantially same as past years, AHCA agreements standard format, and non-profit agreement reviewed by W. Clague.

Reviewing Attorney

Instructions to Board Records

Memorandum of Understanding: One (1) original to Board Records and one (1) original to Community Services.

Resolution R-14-145 and attached Agreements: Signed copy to Community Services

Budget Amendment: Budget Amendment Resolution B-14-082 signed copy to Community Services.

Letters of Agreement:  Return all originals to Community Services to be signed by AHCA.  Finalized document will be returned to Board Records.  (Please call Andy Guyre, ext. 3493, when signed.  These agreements must be received by AHCA by October 1.)

Cost and Funds Source Account Number and Name
HCF #164: $5,433,670. General Funds: $1,730,500

Amount and Frequency of Recurring Costs

Attachment:  B-14-082 AHCA Contracts.pdf
Attachment:  Blake Medical Center LIP LOA SFY 2014-2015.pdf
Attachment:  Manatee Memorial LIP 6 LOA SFY 2014-2015.pdf
Attachment:  Rural Health Services LIP LOA #2 SFY 2014-15.pdf
Attachment:  Rural Health Services LIP LOA #1 SFY 2014-15.pdf
Attachment:  Indigent Care Agreements Resolution 2014.pdf
Attachment:  Rural Health Services Bach Center Agreement FY 2014-2015.pdf
Attachment:  Rural Health Services LIP MOU FY 2014-2015.pdf
Attachment:  Manatee Memorial DSH LIP LOA SFY 2014-2015.pdf