10/17/2012 AgreementDANNY L. KOLHA GE
CLERK OF THE CIRCUIT COURT
DATE: October 29, 2012
TO: .Sheryl Graham, Director
A11onroe County Social Services
FROM: Pamela G. Hanc k, � . C.
At the October 17, 2012, Board of County Commissioners meeting, the Board approved
the following:
Item C8 Board recommended retroactive approval of 21st and 22nd Annual ADA
Celebration and to expend funds from the FKCPWD budget to cover celebration costs. Costs
associated with the annual events are $295.00 in 2011 and $320.00 in 2012. Total $615.00.
Enclosed is a copy.
Item C9 Board ratified Payment Plan Agreement with the Agency for Health Care
Administration pursuant to the settlement in the Florida Association of Counties, et. al., v. the
Florida Department of Revenue and the State of Florida Agency for Health Care Administration
(Medicaid billing) lawsuit. Enclosed is an original signed by the Assistant County Administrator
Debbie Frederick.
Should you have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
Monroe County
Respondent,
STATE OF FLORIDA,
AGENCY FOR HEALTH CARE
ADMINISTRATION,
Petitioner,
PAYMENT PLAN AGREEMENT
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION
( "AHCA" or "the Agency "), and Monroe County, ( "the COUNTY "), by and through the
undersigned, hereby stipulate and agree as follows:
1. This Agreement is entered into for the purpose of memorializing the payment
arrangement for the amount certified to the COUNTY on August 1, 2012 minus any payments or
adjustments.
2. The COUNTY has accepted the terms outlined in the Stipulation Providing For
Dismissal of Some Parties and Abatement of Case for Remaining Parties, as amended September
20, 2012 in Alachua County, Florida; et al. v. Dudek; et al., Case No. 2012 -CA -1328 in the
Circuit Court for the Second Judicial Circuit in and for Leon County, Florida ( "Stipulation ")
The above - referenced Stipulation is attached as Exhibit 1 and incorporated by reference.
3. The Agency and -the COUNTY agree to the following:
(A) AHCA agrees to accept the payment arrangements set forth in the
payment plan agreement.
(B) The amount owed by the COUNTY is $1,635,829.41.
(C) The payment agreement is for one (1) payment of $1,635,829.41 due by
October 5, 2012.
4. Payment shall be made in the form of check, automated clearing house (ACH) or
wire transfer. ACH and wire transfer payments must be coordinated through the Agency's
Revenue Management Unit. If making payment by check, payment shall be sent to:
AGENCY FOR HEALTHCARE ADMINISTRATION
ATTN: Medicaid County Billing Retrospective
Finance and Accounting MS # 14
2727 Mahan Drive
Tallahassee, Florida 32308
5. AHCA reserves the right to enforce this Agreement under the laws of the State of
Florida and all other applicable rules and regulations.
6. The signatories to this Agreement, acting in a representative capacity, represent
that they are duly authorized to enter into this Agreement on behalf of the respective parties.
7. This Agreement shall be in full force and effect upon execution by the respective
parties in counterpart.
Monroe
C ounty' k W � �C U
Dated: 9� , 2012
. do
Tonya Kidd
Deputy Secretary for Operations
Agency for Health Care Administration
Dated: , 2012
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