Item C4 BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Daic:, 7/161/2014 Division: COMMUnitv Services
Bulk Item: Yes __.X No Department: Social Services
Staff Contact Person: ShcrvI Graham 305-292-4510
AGENDA ITEM WORDING: Approval of an increase to the Florida Department of Revenue's
2014/2015 State Fiscal Year (July I —June 30) annual contribution toward the Medicaid
Program's County" Share of Matching Funds. Currently, the Monroe County 2013/2014
contribution is $706,352 annually /$58,862.67 monthly. The Monroe County 2014/2015
contribution is increasing to S725,740 annually / S60,478.33 monthly. This is an increase of
S1,615.66 per month over last state fiscal year.
ITEM BACKGROUND: Effective July 2014, Monroe County's annual contribution to the Florida
Department of Revenue (FDOR) for the Medicaid Progn-am (Medicaid Billing) is $725.740 with a
monthly allocation of $60,478.33 which is due to the FDOR by the 5"' day of each month. If the
County fails to remit the payment, the FDOR will reduce the monthly distributions to the County
pursuant to Section 218.61, Florida Statutes (Half Cent.), and if necessary, distribution to the County
pursuant to Section 218.26, Florida Statutes (Revenue Sharing). 'J"hese payments are made
electronically by the Clerk of Courts directly to the FDOR and are reflected in the Social Services
budget.
tl
PREVIOUS RELEVANT BOCC ACTION: BOCC Meeting Date 9/10/2012; Discussion and
Approval of settlement agreement 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) lawsuit—BOCC Approved.
CONTRACT/AGREEMENT CHANCES: N/A
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $725,740.00 BUDGETED: Yes X No
COST 1)ST TO COUNTY: S 725.740.00 SOURCE OF FUNDS: General Revenue
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REVENUE, PRODUCING: Yes No X AMOUNT P6,11: MONTH: Y F"A R:'
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APPROVED BY: County kttv 6-mB./Purcylasing V Risk N/lana0ernent
DOCUMENTATION: Included X Not Required 'I'"o Follo\v
DISPOSITION: ------------ AGENDA ITEM
Rek ised 8 06
Revenue Accounting
Post Office Box 6609
Fill I Tallahassee,FL 32314-6609
DEPARTMENT
OF REVENUE
Executive
Director
Marshall Strariburg
Medicaid Program
Remittance of County Share of Matching Funds
Effective July 1,2014
Per Section 409.915, Florida Statutes,the Department of Revenue is responsible for collecting the county share
of costs for Medicaid recipients. Although the State is responsible for the full portion of the state share of the
matching funds required for the Medicaid program,the state is required to charge the counties an annual
contribution in order to acquire a certain portion of these funds.
For the 2014/15 state fiscal year,the total amount of the counties annual contribution is$277 million. Monroe
County's annual contribution is$ 725,740.00,with a monthly allocation of$60,478.33 ,which is due to the
Department of Revenue by the 5h day of each month. Please use the new monthly amount beginning July
2014. If the county fails to remit the payment,the Department will reduce the monthly distribution to the
county pursuant to Section 218.6 1,Florida Statutes,(Half-Cent); and if necessary,the distribution to the
county pursuant to Section 218.26,Florida Statutes,(Revenue Sharing).
In order to assist and facilitate the processing of your monthly remittance,we have developed an internet page
for your county to submit its payments electronically. Please follow the instructions below using the User ID
and password provided.
• In the top left box, select the link for Local
Government Officials RQEGGNTY "TT
i-)RNEY
• Choose Medicaid Reimbursement remittances (this AP ovFORM'
page should be the one bookmarked or added as a
favorite) PECK mT3~S
• Choose Remit taxes, fines and fees from the top right ASSIS-FA T CqUNT ' ATTORNEY
Date-_
Payments should be submitted on or before 5:00 p.m., ET, on the business day prior to the 5h of each month.
A calendar of remittance dates containing deadlines will be provided as soon as it is available, Please
immediately report any problems with the remittance system to Marsha Revell at reN Q1 1 nn ji fl or
(850) 717-7254. Please direct any correspondence or check remittance to the address above.
If you have any questions or need assistance,please do not hesitate to contact us.
Child Support Enforcement—Ann Coffin,Director 0 General Tax Administration—Maria Johnson,Director
Property Tax Oversight—James McAdams,Director 0 Information Services—Damu Kuttikrishnan,Director
Phone:(850)617-8586 www.myflorida.com/dor FAX: (850)921-1171
revenueaccounting@dor.state.fl.us
Graham-Sheryl
From: Amy Heavilin <aheavilin@monroe-clerk.com>
Sent: Friday, May 16, 2014 9:17 AM
To: Graham-Sheryl; Ron Saunders
Cc: Amanda Cochran
Subject: RE: County Annual Contribution to Medicaid FY14-15
Sheryl,
Thank You for the information. I have cc'd Amanda on this notification as the finance function falls under her
supervision.
Could you be, so kind and change Your records to reflect her as your direct point of contact for all things finance.
Have a great weekend,
Amy
From: Graham-Sheryl [Inia i Ito:Graham-Sheryl�P-)Mon roeCo u nty-FL,Gov]
Sent: Friday, May 16, 2014 8:20 AM
To: Ron Saunders; Amy Heavilin; Tom Ravenel; Joyce Wallace
Subject: Fwd: County Annual Contribution to Medicaid FY14-15
IMPORTANT (7HANGE REGARDING MEDICAID PAYMENJ'S
Sheryl Graham
Social Services Director
Monroe County Social Services
1100 Simonton Street, 2-257
Key West, FL 33040
(305) 292-4510
Begin forwarded message:
From: Marsha Revell <Re-vellM 0 dor.state..11.us>
Date: Mav 15. 2014 at 11 :16:14 AM
To: monroecount%-fl.'_'ov" I'll On I'Oeco antv-11,L'o v>
Subject: County Annual Contribution to Medicaid FY14-15
NOTIFWATION TO RECIPIENTS: If you have received this e-mail in error, please notify Lis
immediately by return e-mail. If you receive a I'lorida Department of Revenue communication
that contains personal or confidential information. and you are not the intended recipient, you are
prohibited from using the information in any xvay. All record of any such communication
(electronic or otherwise) should be destroyed in its entirety. Cautions Oil Corresponding, with
Revenue by e-mail: [J'nder Ilorida law. e-mails received by a state a(,ency are public records.
Boill the. message and the c-mail address it was sent from (excepting any infiormation that is
Graham-Sheryl
N�
From: Tom Ravenel <thravenel@monroe-clerk.com>
Sent: Friday, May 16, 2014 9:17 AM
To: Graham-Sheryl; Amanda Cochran
Subject: RE: County Annual Contribution to Medicaid FY14-15
Hi Sheryl,
1'n'i no longer involved with Medicaid, Please send future correspondence to Amanda Cochran, Finance Director.
Thanks.
Thomas Ravenel, CPA
Monroe County Clerk of the Court &Comptroller
500 Whitehead Street
Key West, FL 33040
305,292,3573
From: Graham-Sheryl [Mgi Ito:Gra ham-Shervl((IMonroeCou nt -FL.Gov]
Sent: Friday, May 16, 2014 8:20 AM
To: Ron Saunders; Amy Heavilin; Tom Ravenel; Joyce Wallace
Subject: Fwd: County Annual Contribution to Medicaid FY14-15
IMPORTANT GRANGE REGARDING MEDICAID PAYMENTS
Sheryl Graham
Social Services Director
Monroe County Social Services
I 100 Simonton Street, 2-257
Key West, Fl, 33040
(305) 292-4510
Begin forwarded message:
From: Marsha Revell <fZeveHNI �1'dO1%St,1tCJ1.L1S>
Date: May 15. 2014 at 11:16:14 AM EDT
To: "arLaha -
m ,s e <urahani-sher\1'Cl lnonrocco untN-11.L'o\>, —_tLr\
Subject: County Annual Contribution to Medicaid FY14-15
NOTIFICA'HON 'I'() Rl"CIPIEN' "'I'S: UVOU have received this e-mail in error, please notify us
immediately by return e-mail. If-,TOLI receive a Florida Department of Revenue coninlUnication
that contains personal or confidential information, and VOL] are not the intended recipient, you are
prohibited from using the information in any way. All record of any such communication
(electronic or otherwise) should be destroyed in its entirety. ("autions on corresponding with
Revenue by e-mail: Under Florida laxv. e-malls received by a state agency are public records.
Both the message and the e-mail address it was sent from (excepting any inforination that is
exempt from disclosure under state law) may be released in response to a public records request.
I