Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - September 26, 2017
REVISED September 26, 2017 - Regular Meeting
Agenda Item #37

Low Income Pool Agreements


Contact and/or Presenter Information

Joshua T. Barnett, Health Care Services Manager
ext 3978

Cheri Coryea, Neighborhood Services Department Director ext 3568

Action Requested
  1. Approval of Low Income Pool (LIP) funds and the associated Letter of Agreement (LOA) with the Florida Agency of Health Care Administration (AHCA) for Manatee Memorial Hospital ($3,426,586), Blake Hospital ($280,732), and Manatee County Rural Health Services ($1,419,268) and authorization for $200,000 to be used for results based contracting with each provider for a total approved budget amount of $5,326,586.
  2. Authorization for the Neighborhood Services Department Director, and or their designee, to sign AHCA Letters of Agreement.

Enabling/Regulating Authority

FLS 125

Senate Bill 2500

Background Discussion

Pending approval of the Board of County Commissioners (BCC) to provide Intergovernmental Transfer (IGT) dollars to Florida Agency of Health Care Administration (AHCA) for Low Income Pool (LIP) dollars for Federal Medicaid Match (1115 Medicaid Demonstration Waiver - Florida), the BCC may approve funds and sign associated Letters of Agreement (LOA) for two eligible hospitals (Manatee Memorial Hospital and Blake Hospital) and one federally qualified health center (Manatee County Rural Health Services). Each of these hospitals shall agree to use LIP funds for Eligible Manatee County Residents, utilize the Health Information Exchange, and utilize IGT funds in compliance with LIP Rules, including funds not to be utilized for "bad debts" or Medicaid or CHIP "shortfalls" or reimbursement gaps.

Staff have worked with the organizations and recommend Low Income Pool (LIP) funds in the following amounts for Manatee Memorial Hospital ($3,426,586), Blake Hospital ($280,732), and Manatee County Rural Health Services ($1,419,268).

An additional $200,000 for performance and results based agreements will be entered into by the organizations and the County separately to guarantee the Health Information Exchange (HIE) and health care results data.

The deadline for AHCA to receive the Letters of Agreement is October 1, 2017 and staff is seeking approval of the Neighborhood Services Department Director or their designee to sign and submit the Letters of Agreement once approved. 

County Attorney Review
Not Reviewed (No apparent legal issues)

Explanation of Other

Reviewing Attorney

Instructions to Board Records
Upon approval Neighborhood Services Department Director will sign and submit Letters of Agreement to ACHA and provide a copy to the Clerk for recording.


Cost and Funds Source Account Number and Name
$5,326,586 (0010015403, 0010015411, 0010950022)

Amount and Frequency of Recurring Costs
One Time

Attachment:  FINAL LIP AGREEMENTS FY 2018 (3).pdf
Attachment:  Manatee County Board of County Commissioners_Manatee County RHS_LIP LOA_....pdf
Attachment:  Manatee County_Blake Medical Center_LIP LOA_SFY 1718.pdf
Attachment:  Manatee County_Manatee Memorial Hospital_LIP LOA_SFY 1718.pdf