R25-265 RESOLUTION NO. R25-265
1 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON
2 BEACH, FLORIDA, RATIFYING THE PUBLIC EMERGENCY MEDICAL
3 TRANSPORTATION LETTER OF AGREEMENT WITH THE AGENCY FOR
4 HEALTH CARE ADMINISTRATION FOR THE GENERAL
5 APPROPRIATIONS ACT OF STATE FISCAL YEAR 2024-2025 IN THE
6 AMOUNT OF $344,510.59, AND RATIFYING THE LETTER OF
7 AGREEMENT AMENDMENT EXTENDING THE AGREEMENT THROUGH
8 SEPTEMBER 30, 2026; AND FOR ALL OTHER PURPOSES.
9
10 WHEREAS, House Bill 5001,the General Appropriations Act of State Fiscal Year 2024-2025,
11 passed by the 2024 Florida Legislature, the City and Agency for Health Care Administration
12 ("Agency") agreed that the City would remit City funds to the Agency in the amount not to exceed
13 the total of $344,510.59 to be used for the Public Emergency Medical Transportation program;
14 and
15 WHEREAS, the City and Agency entered into a Letter of Agreement dated September 25,
16 2024; and
17 WHEREAS, the parties entered into an Amendment to extend the Agreement through
18 September 30, 2026; and
19 WHEREAS, the City Commission, upon the recommendation of staff, has deemed it in the
20 best interests of the City's citizens and residents to ratify the Public Emergency Medical
21 Transportation Letter of Agreement with the Agency for Health Care Administration for the
22 General Appropriations Act of State Fiscal Year 2024-2025 in the amount of$344,510.59, and ratify
23 the Letter of Agreement Amendment extending the Agreement through September 30, 2026.
24
25 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON
26 BEACH, FLORIDA, THAT:
27 SECTION 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
28 being true and correct and are hereby made a specific part of this Resolution upon adoption.
29 SECTION 2. The City Commission of the City of Boynton Beach, Florida, does hereby
30 ratify the Public Emergency Medical Transportation Letter of Agreement with the Agency for
31 Health Care Administration for the General Appropriations Act of State Fiscal Year 2024-2025 in
32 the amount of $344,510.59 (the "Agreement"), in form and substance similar to that attached as
RESOLUTION NO. R25-265
33 Exhibit A.
34 SECTION 3. The City Commission of the City of Boynton Beach, Florida, does hereby
35 ratify the Letter of Agreement Amendment extending the Agreement through September 30, 2026
36 (the "Amendment"), in form and substance similar to that attached as Exhibit B.
37 SECTION 4. The City Commission of the City of Boynton Beach, Florida, hereby ratifies
38 the Chief's execution of the Agreement and the Mayor's execution of the Amendment. The Mayor
39 is further authorized to execute any ancillary documents required under the Agreement or
40 necessary to accomplish the purposes of the Agreement, including any term extensions as
41 provided in the Agreement, provided such documents do not modify the financial terms or
42 material terms.
43 SECTION 5. This Resolution shall take effect in accordance with the law.
44 [SIGNATURES ON THE FOLLOWING PAGE]
45
RESOLUTION NO. R25-265 `
46 PASSED AND ADOPTED this `x`'11 day of DC'1U ,,r 2025.
47 CITY OF BOYNTON BEACH, FLORIDA
48 YEt - NO
49 Mayor- Rebecca Shelton
50
51 Vice Mayor-Woodrow L. Hay
52
53 Commissioner-Angela Cruz
54
55 Commissioner-Thomas Turkin ---NaSener
56
57 Commissioner-Aimee Kelley
58
59 VOTE (4-o
60 AT T:
61
62 ��
63 Mayle= D: -sus, MPA, MC Rebecca Shelton
64 City Cler Mayor
65
66 '0(NTON`� APPROVED AS TO FORM:
67 (Corporate Seal) ; 8C . OR',7..F,9'1i,'
69' = SEAL 1. ' /''
70 � ;INCORP 20 ED Shawna G. Lamb
71
•'• 19 City Attorney
�`��.
EXHIBIT A
Public Emergency Medical Transportation Letter of Agreement
Public Emergency Medical Transportation Letter of Agreement
THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the
day of �-- 2024, by and between City of Boynton Beach (the "IGT Provider") on behalf of
Boynton B ach Fire Rescue, and the State of Florida, Agency for Health Care
Administration (the "Agency"), for good and valuable consideration, the receipt and sufficiency
of which is acknowledged.
DEFINITIONS
"Intergovernmental Transfers (IGTs)" means transfers of funds from a non-Medicaid
governmental entity (e.g., counties, hospital taxing districts, providers operated by state or local
government)to the Medicaid agency. IGTs must be compliant with 42 CFR Part 433 Subpart B.
"Medicaid" means the medical assistance program authorized by Title XIX of the Social Security
Act, 42 US.C. §§ 1396 et seq., and regulations thereunder, as administered in Florida by the
Agency.
"Public Emergency Medical Transportation (PEMT)," pursuant to the General Appropriation Act,
Laws of Florida 2024-231 is the program that provides supplemental payments for eligible Public
Emergency Medical Transportation (PEMT)entities that meet specified requirements and provide
emergency medical transportation services to Medicaid beneficiaries.
A. GENERAL PROVISIONS
1. Per House Bill 5001, the General Appropriations Act of State Fiscal Year 2024-2025,
passed by the 2024 Florida Legislature, the IGT Provider and the Agency agree that the
IGT Provider will remit IGT funds to the Agency in an amount not to exceed the total of
$344,510.59.The IGT Provider and the Agency have agreed that these IGT funds will only
be used for the PEMT program.
2. The IGT Provider will return the signed LOA to the Agency.
3. The IGT Provider will pay IGT funds to the Agency in an amount not to exceed the total
of$344,510.59. The IGT Provider will transfer payments to the Agency in the following
manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2024
through June 2025 are due to the Agency no later than October 31, 2024, unless
an alternative plan is specifically approved by the agency.
b. The Agency will bill the IGT Provider when payment is due.
4. The IGT Provider and the Agency agree that the Agency will maintain necessary records
and supporting documentation applicable to health services covered by this LOA in
accordance with public records laws and established retention schedules_
a. AUDITS AND RECORDS
City of Boynton Beach_Boynton Beach Fire Rescue_PEM LOA_SFY 2024-25
i. The IGT Provider agrees to maintain books, records, and documents (including
electronic storage media) pertinent to performance under this LOA in accordance
with generally accepted accounting procedures and practices, which sufficiently
and properly reflect all revenues and expenditures of funds provided.
ii. The IGT Provider agrees to assure that these records shall be subject at all
reasonable times to inspection, review, or audit by state personnel and other
personnel duly authorized by the Agency, as well as by federal personnel.
iii. The IGT Provider agrees to comply with public record laws as outlined in section
119.0701, Florida Statutes.
b. RETENTION OF RECORDS
i. The IGT Provider agrees to retain all financial records, supporting documents,
statistical records, and any other documents (including electronic storage media)
pertinent to performance under this LOA for a period of six (6) years after
termination of this LOA, or if an audit has been initiated and audit findings have not
been resolved at the end of six (6) years, the records shall be retained until
resolution of the audit findings.
ii. Persons duly authorized by the Agency and federal auditors shall have full access
to and the right to examine any of said records and documents.
iii. The rights of access in this section must not be limited to the required retention
period but shall last as long as the records are retained.
c. MONITORING
i. The IGT Provider agrees to permit persons duly authorized by the Agency to inspect
any records, papers, and documents of the IGT Provider which are relevant to this
LOA.
d. ASSIGNMENT AND SUBCONTRACTS
i. The !GT Provider agrees to neither assign the responsibility of this LOA to another
party nor subcontract for any of the work contemplated under this LOA without prior
written approval of the Agency. No such approval by the Agency of any assignment
or subcontract shall be deemed in any event or in any manner to provide for the
incurrence of any obligation of the Agency in addition to the total dollar amount
agreed upon in this LOA. All such assignments or subcontracts shall be subject to
the conditions of this LOA and to any conditions of approval that the Agency shall
deem necessary.
5. This LOA may only be amended upon written agreement signed by both parties.
The IGT Provider and the Agency agree that any modifications to this LOA shall be in the
same form, namely the exchange of signed copies of a revised LOA.
6. The IGT Provider confirms that there are no pre-arranged agreements (contractual or
otherwise) between the respective counties, taxing districts, and/or the providers to re-
City of Boynton Beach_Boynton Beach Fire Rescue_PEM LOA_SFY 2024-25
direct any portion of these aforementioned supplemental payments in order to satisfy non-
Medicaid, non-uninsured, and non-underinsured activities.
7. The IGT Provider agrees the following provision shall be included in any agreements
between IGT Provider and local providers where IGT funding is provided pursuant to this
LOA. Funding provided in this agreement shall be prioritized so that designated IGT
funding shall first be used to fund the Medicaid program and used secondarily for other
purposes.
8. This LOA covers the period of July 1, 2024, through June 30, 2025, and shall be
terminated September 30, 2025, which includes the state's certified forward period.
9. This LOA may be executed in multiple counterparts, each of which shall constitute an
original, and each of which shall be fully binding on any party signing at least one
counterpart.
PEMT Local Intergovernmental Transfers
Program !Amount State Fiscal Year 2024-2025
Estimated IGTs $344,510.59
Total Funding Not to Exceed $344,510.59
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly authorized.
CITY OF BOYNTON BEACH STATE OF FLORIDA, AGENCY FOR
HEALTH CA ADMINISTRATION
SIGNED SIGNED
BY: t BY:
NAME: jC�JcS2� Pill
Griffis
TITLE: TITLE: Acting Chief Medicaid Program
#1 re- C'i \%Q.c Finance
DATE: ci l-?.S-f 2-1 DATE: 'z.', ,\U z.4
City of Boynton Beach_Boynton Beach Fire Rescue PEM LOA_SFY 2024-25
EXHIBIT B
Letter of Agreement Amendment
Letter of Agreement Amendment
This Amendment is made to the 2024-2025 Public Emergency Medical Transportation Letter
of Agreement previously executed by and between the City of Boynton Beach (the "IGT
Provider") on behalf of Boynton Beach Fire Rescue and the Agency for Health Care
Administration, with an effective date of 9/26/2024.
It is mutually understood and agreed upon by and between the undersigned contracting parties
to amend the previously executed Agreement dated December 2, 2024, as follows:
General Provisions
Deleted: 7. This LOA covers the period of July 1, 2024, through June 30, 2025, and shall be
terminated September 30, 2025, which includes the states certified forward period.
Inserted: 7. This LOA covers the period of July 1, 2024, through June 30, 2026, and shall be
terminated September 30, 2026, which includes the states certified forward period.
All provisions not in conflict with this amendment remain in effect. This amendment is hereby
made a part of the Letter of Agreement.
CITY OF BOYNTON BEACH STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED SIGNED
BY: BY:
NAME: ?,ebs�, S4,e.lton. NAME: Stephanie Scanlon
TITLE: Mav - TITLE: Chief of Medicaid Program
Finance
DATE: 91110 AoaS DATE:
CITY ATTORNEY'S OFFICE
ApproveA as to f rm and legal'
BY:
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