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Resolution 326-1980 r RESOLUTION NO. 326 -1980 RESOLUTION AUTHORIZING THE CHAIRMAN OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, TO EXECUTE AN AGREEMENT BY AND BETWEEN THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, AND DADE-MONROE MENTAL HEALTH BOARD, INC., DIS- TRICT XI, FOR BAKER ACT MATCHING FUNDS. BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA as follows: That the Chairman of the Board of County Commissioners of Monroe County, Florida is hereby authorized to execute an Agreement by and between the Board of County Commissioners of Monroe County, Florida and the Dade-Monroe Mental Health Board, Inc., a copy of same being attached hereto, for Baker Act Matching Funds. Passed and adopted by the Board of County Commissioners of Monroe County, Florida, at a regular meeting held on the 18th day of November, 1980. BOARD OF COUNTY COMMISSIONERS :~ M~:~:J~F;~, J (Seal) Attest: APPROVED AS 10 FORM AND LEGAL SUFFICIENCY. BY~ ' . OHa 3~q ~ AGREEMENT FOR RAKF~ ~CT MATCHING F"JND::: _._.~--.... - THIS AGREEMENT, Made this 30th day of October, 1980, by and between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as "BOARD", and the DADE-MONROE MENTAL HEALTH BOARD, INC., District XI, hereinafter referred to as "DISTRICT", For and in consideration of the mutuRl covenants made herein, the parties hereby agree as follows: (1) The Board agrees to reimburse the District twenty- five per cent (25%) of total District expenditures for Baker Act hospital, physician, and crisis stabilization services, as billed to the District on state approved Baker Act Billing Forms (HRS 346) for clients qualifying for such services under applicable state and federal regulations and eligibility determination pro- cedures. This cost is not to exceed a total reimbursement of Thirty Thousand Dollars ($30,000.00) during the period beginning October 1, 1980 and ending September 30, 1981. (2) The District agrees to provide to the Board on a regular basis a copy of the Baker Act Summary Billing Form from which reimbursement due the District can be calculated; however, copies of individual client bills will not be available for inspection by the Board for reimbursement purposes in order to comply with regulations safeguarding the patient's right to confidentiality. Copies of individual client bills are kept on file in the District's business office and will be made available under controlled conditions to qualified auditors for audit purposes. The District further agrees to provide the Board any Baker Act statistical data normally available to the District and to make an annual report to the Board on the expenditure of County funds for the above specified purposes. This agreement shall terminate at 11:59 p.m., September 30, 1981, and the Board shall not be liable under the terms of this agreement for any liability incurred after the time of termination; however, the Board shall be liable for outstanding costs incurred prior to the termination of this agreement provided the District submits to the Board the required Baker Act Summary Billing Form within' three (3) weeks of the date of termination of this Page 1 of 2 Pages 350 . ' agreement, provided however, that the maximum of reimbursement specified above is not exceeded. This agreement may also be terminated by either party upon thirty (30) days written notice delivered by certified mail to the party receiving notice of termination. County warrants or checks written for reimbursement to the District shall be made payable to the Dade-Monroe Mental Health Board, Inc. IN WITNESS WHEREOF, the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, has caused these presents to be signed in its name by its Chairman, Board of County Commissioners, and the Clerk of the Board of County Commissioners, and the Dade- Monroe Mental Health Board, Inc., District XI, has caused these presents to be signed in its name by its President and Secretary of the Board all as of the 30th day of October , 1980. BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By ~;i:l ~ (Seal) AtteSt~/~ , erk DADE-MONROE MENTAL HEALTH BOARD, INC. :~~ J$~ President (Seal) Attest: T1HZ CUA-</) Q~/)~ Secretary APPROVED AS TO FORM A]j, GAL, SUFFICJE4, we'y. BY , 4P./P AItOl'Mr'. 0fIictI Page 2 of 2 Pages :)5)