HomeMy WebLinkAboutExhibitPublic Emergency Medical Transportation Letter of Agreement
THIS LETTER OF AGREEMENT (LOA) is made and entered into in duplicate on the
day of 2019, by and between City of Miami on behalf of City of Miami Fire -Rescue
Department, 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, City of Miami and the Agency agree that City of
Miami will remit IGT funds to the Agency in an amount not to exceed the total of
$899,407.48. City of Miami and the Agency have agreed that these IGT funds will only be
used for the PEMT program.
2. City of Miami will return the signed LOA to the Agency no later than October 1, 2019.
3. City of Miami will pay IGT funds to the Agency in an amount not to exceed the
total of$899,407.48. City of Miami 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 City of Miami when payment is due.
4. City of Miami 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. City of Miami 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
City of Miami_City of City of Miami Fire -Rescue Department_PEMT LOA_SFY 2019-20
properly reflect all revenues and expenditures of funds provided.
ii. City of Miami 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. City of Miami agrees to comply with public record laws as outlined in section
119.0701, Florida Statutes.
b. RETENTION OF RECORDS
i. The City of Miami 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. City of Miami agrees to permit persons duly authorized by the Agency to
inspect any records, papers, and documents of the City of Miami which are
relevant to this LOA.
d. ASSIGNMENT AND SUBCONTRACTS
i. The City of Miami 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 City of Miami 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. City of Miami 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.
7. City of Miami agrees the following provision shall be included in any agreements between
City of Miami and local providers where IGT funding is provided pursuant to this LOA.
Funding provided
City of Miami_City of Miami Fire -Rescue Department_PEMT LOA_SFY 2019-20
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, 2019 through June 30, 2020 and shall be terminated
June 30, 2020.
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 2019-2020
Minimum Fee Schedule/MCO IGTs
$899,407.48
Total Funding
$899,407.48
IN WITNESS WHEREOF, the parties have caused this page Letter of Agreement to be
executed by their undersigned officials as duly authorized.
City of Miami
SIGNED
BY:
NAME:
TITLE:
DATE:
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION
SIGNED
BY:
NAME:
TITLE:
DATE:
City of Miami_City of Miami Fire -Rescue Department_PEMT LOA_SFY 2019-20