Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - September 24, 2013
September 24, 2013 - Regular Meeting
Agenda Item #23

Agency for Health Care Administration


Contact and/or Presenter Information

Contact and/or Presenter Information

Elaine Maholtz/Andy Guyre x3030

Brenda G. Rogers, Director, x3030

Action Requested

Authorization for Chairman to execute Letters of Agreement with the Agency for Health Care Administration (AHCA) for the Intergovernmental Transfer Program (IGT), and to execute Memorandums of Understanding (MOU) with Manatee County Rural Health Services, providing funds to Manatee Memorial Hospital (MMH), Blake Medical Center (BMC), and Manatee County Rural Health Services (RHS), to increase the provision of health care services for Medicaid, uninsured and underinsured persons in Manatee County for the time period July 1, 2013 - June 30, 2014.

Enabling/Regulating Authority
F.S. Chapter 125

Background Discussion
  • 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.  
  • FY2014 healthcare agreement funding for MMH, BMC, and RHS has been adopted by the Board as part of the FY2014 budget process.  AHCA has notified the Community Services Department that Letters of Agreement on behalf of the aforementioned medical providers must be returned to AHCA prior to October 1, 2013.  
  • 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 form of the FY2013-2014 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.    
  • MMH, BMC, and RHS can provide periodic, scheduled reports to Community Services Department staff regarding indigent healthcare services provided.
  • The Board is requested to execute the Letters of Agreement from AHCA, and the MOU's with RHS, in order to meet the October 1, 2013, due date to AHCA.

County Attorney Review
Not Reviewed (Utilizes exact document or procedure approved within the last 18 months)

Explanation of Other

Reviewing Attorney

Instructions to Board Records

These documents are TIME SENSITIVE. Please have Letters and Memorandums of Understanding executed by the Chairman, and call Brenda Rogers at extension 3030 immediately for pick up.  

After documents are returned from AHCA, an executed copy will be provided for Board Records.

Cost and Funds Source Account Number and Name
RHS $392,400 General Revenue 001-0950022 and $$323,186 Health Care Fund 164-0015410; MMH $6,925,000 Health Care Fund 164-0015403 and General Fund 001-0015200; Blake $1,108,820 Health Care Fund 164-0015411

Amount and Frequency of Recurring Costs

Attachment:  FY2014 RHS LIP LOA.pdf
Attachment:  FY2014 2nd RHS LIP LOA SFY 2013-14.pdf
Attachment:  RHS LIP MOU FY2014.pdf
Attachment:  RHS LIP MOU FY2014.pdf
Attachment:  MMH LIP LOA SFY 2013-14.pdf
Attachment:  FY2014 Blake LOA.pdf
Attachment:  RLS Response AHCA LOA FY2013.pdf