R19-164 1 RESOLUTION NO. R19-164
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4 A RESOLUTION OF THE CITY OF BOYNTON BEACH,
5 FLORIDA, APPROVING AND AUTHORIZING THE CITY
6 MANAGER TO SIGN A LETTER OF AGREEMENT WITH THE
7 AGENCY FOR HEALTH CARE ADMINISTRATION FOR THE
8 STATE FISCAL YEAR 2019-20 FOR THE PUBLIC EMERGENCY
9 MEDICAL TRANSPORTATION (PEMT) MANAGED CARE
0 OPTION (MCO) PROGRAM; AND PROVIDING AN EFFECTIVE
1 DATE.
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4 WHEREAS, the Boynton Beach Fire Rescue has participated in the PEMT program
5 for the past three(3) years; and
6 WHEREAS, the Managed Care Option portion of the program is new this year and
7 requires providers to fund a portion(38.53%)of the entire funding pool while the State funds
8 the remainder; and
9 WHEREAS, the City Commission of the City of Boynton Beach, Florida , upon the
0 recommendation of staff, deems it to be in the best interests of the City residents to approve
1 and authorize the City Manager to sign a Letter of Agreement with The Agency for Health
2 Care Administration (AHCA)to participate in the PEMT MCO Program for the State Fiscal
3 Year 2019-20.
4 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
5 THE CITY OF BOYNTON BEACH,FLORIDA,THAT:
6 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
7 being true and correct and are hereby made a specific part of this Resolution upon adoption
8 hereof.
9 Section 2. The City Commission hereby approves and authorizes the City
0 Manager to sign a Letter of Agreement with The Agency for Health Care Administration
1 (AHCA)to participate in the PEMT MCO Program for the State Fiscal Year 2019-20, a copy
S:\CA RESO\Agreements\LOA with AHCA FY 19-20-Reso.docx
32 of the Letter of Agreement is attached hereto as Exhibit"A."
33 Section 3. This Resolution shall become effective immediately upon passage.
34 PASSED AND ADOPTED this /'/y='day of December, 2019.
35 CITY OF BOYNTON BEACH, FLORIDA
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37 YES NO
38 Mayor—Steven B. Grant
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40 Vice Mayor—Justin Katz n{
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4 2 Commissioner—Mack McCray ✓
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44 Commissioner—Christina L. Romelus ✓
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46 Commissioner—Ty Penserga ✓
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48 ATTEST: VOTE
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51 C tal Gibson, MMC
52 City Clerk
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56 (Corporate Seal)
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Public Emergency Medical Transportation Letter of Agreement
THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the 3(h
day of i c 2019, by and between Boynton Beach on behalf of Boynton Beach 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 2019-115, 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 Senate Bill 2500, the General Appropriations Act of State Fiscal Year 2019-2020,
passed by the 2019 Florida Legislature, Boynton Beach and the Agency agree that
Boynton Beach will remit IGT funds to the Agency in an amount not to exceed the total of
$86,423.51. Boynton Beach and the Agency have agreed that these IGT funds will only
be used for the PEMT program.
2. Boynton Beach will return the signed LOA to the Agency.
3. Boynton Beach will pay IGT funds to the Agency in an amount not to exceed the total of
$86,423.51. Boynton Beach will transfer payments to the Agency in the following manner:
a. Per Florida Statute 409.908, annual payments for the months of July 2019 thru
June 2020 are due to the Agency no later than October 31, 2019 unless an
alternative plan is specifically approved by the agency.
b. The Agency will bill Boynton Beach when payment is due.
4. Boynton Beach 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
i. Boynton Beach agrees to maintain books, records, and documents (including
electronic storage media) pertinent to performance under this LOA in accordance
Boynton Beach_Boynton Beach Fire Rescue_PEMT LOA_SFY 2019-20
with generally accepted accounting procedures and practices, which sufficiently
and properly reflect all revenues and expenditures of funds provided.
ii. Boynton Beach 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. Boynton Beach agrees to comply with public record laws as outlined in section
119.0701, Florida Statutes.
b. RETENTION OF RECORDS
i. The Boynton Beach 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. Boynton Beach agrees to permit persons duly authorized by the Agency to inspect
any records, papers, and documents of the Boynton Beach which are relevant to
this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
i. The Boynton Beach 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 Boynton Beach 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. Boynton Beach confirms that there are no pre-arranged agreements (contractual or
otherwise) between the respective counties, taxing districts, and/or the providers to re-
direct any portion of these aforementioned supplemental payments in order to satisfy non-
Medicaid, non-uninsured, and non-underinsured activities.
Boynton Beach_Boynton Beach Fire Rescue_PEMT LOA_SFY 2019-20
Beth Kidder
Deputy Secretary for Medicaid