Item C6 •
` t12 BOARD OF COUNTY COMMISSIONERS
--N' Mayor Sylvia 3.Murphy, District s
1 � Mayor Pro Tern Danny Kolhage,District 1
COUNTY orMON ROE Heather Carruthers,District 3
KEY WEST FLORIDA 33040 �' ���J' 'eee George Neugent, Dishict2
t305t a4-464r lsY, r, F David Rice, District4
District 4 Office: 10 .1 �r 5
9400 Overseas Highway . r ¢'C �es!.. .ly � '
Florida Keys Marathon Airport - "l'T
Suite 210
Marathon,FL 33050
Ph:305 289-6000
Fx: 305 289-4610
Em: boccdis4(a)monroecounty-fl.gov
Interoffice Memorandum
Date: August 14,2014
To: Amy Heavilin,Clerk of the Court
From: Commissioner David Rice, District 4 `ac
Re: Notice of Voting Conflict
Per Florida Statute 112.3143, 1 hereby disclose by written memorandum that 1 will
abstain from the vote on certain issues that are brought before the Monroe County Board of
Commissioners with entities that I am involved with.
I will abstain from the vote on issues concerning the following entities: Guidance Care
Center, Inc., a private,not-for-profit entity,which receives some of its operational funding from
the County, as I currently sit on the Board of Directors of the Care Center. I am also a member of
the Board of the Historic Florida Keys Foundation, Inc.
At the August 20,2014 BOCC meeting, I will abstain from the vote on item(s):
#C6: Approval of Amendment#5 between the Monroe County
Community Transportation Coordinator, Guidance/Care Center,
Inc. and the Monroe County Board of County Commissioners for
the period of July 1, 2014 through August 31, 2014, allowing for
the reimbursement of Medicaid trips.
•
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:_08/20/2014 Division: Social Services
Bulk Item: Yes X No __. Department: Social Services
Staff Contact/Phone #: Sheryl Graham x4510
(taict x. B/i/.ail9
AGENDA ITEM WORDING: Approval of Amendment#5 between the Monroe t ounty Community
Transportation Coordinator,Guidance/Care Center, Inc. and the Monroe County Board of County
Commissioners for the period of July I.2014 through August 31, 2014. allowing for the
reimbursement of Medicaid trips.
ITEM BACKGROUND: Amendment #5 is necessitated by the implementation of Florida's Managed
Medical Assistance Program administered by AHCA. It is only anticipated to be in effect for 2 months
at the end of which time another amendment or a new agreement will be put in place.
PREVIOUS RELEVANT BOCC ACTION: Amendment No.4 approved 6/19/2014
CONTRACT/AGREEMENT CHANGES: yes: #3. 4, 5
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $0 INDIRECT COST: 0 BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY: $0 SOURCE OF FUNDS: Medicaid
REVENUE PRODUCING: Yes X No AMOUNT PER MONTH $5.833.00 MAX Year
2
APPROVED BY: County Atty OMB/Purchasing� Risk Management \ ')CT'
DOCUMENTATION: Included __ Not Required_
DISPOSITION: AGENDA ITEM # C-40
Revised 7 09
BOARD OF COUNTY (7,0MMISSIONERS
AGENDA ITEM SUMMARY
,%lecting, Date: Division: _-IS-o-cial S-e1vices
Bulk Item: Yes x No Department: Social Serv'
Staff Contact /Phonc H: She I Graham x4510
-—--------------------------------
AGENDA ITEN/I WORDING: Approval ot'Arnendment, 115 between the Monroe County Community
Transportation Coordinator, Guidance/Care ("enter, Inc. and the Monroe County Board of County
1
Commissioners fairfair .)1,r the period of'July 1. 2014 through August 2014, allowing for the
reimbursement ol'Medicaid trips.
ITEM BACKGROUND: Arnendmem. #5 is necessitated by the implementation ol"I'lorlda's Managed
Medical Assistance Program administered by Al IC"A_ It is only anticipated to be in effect for 2 months
at the end of which tune another arnendment ora new agreement will be I)Ut in place.
PREVIOIJS RELEVANT BOCC. ACTION: Amendment No.4approved 6/19/2014
CON'I'RAC."T/,%('VREEMEN'I' ClIAN(;ES: yes-, 43, 4, 5
STAFF RECOMMENDATIONS: Approval
TOTAL COST: $0 INDIRFCTC.'OST: 0 BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
("OSTTO U NTY: V) SOURCE OF FUNDS: Nled'caid
"I'll 11111.1-11� ........... ..............
RE.VENUE PRODUCING: Yes X No AMOUNT PER MONTH $5.9313.00 N4AX Year
APPROVED BY: County Atty OMB/Purchasing N_ Risk Managernen�
__.............
DOC'UVILNTATION: Included Mm Required
AG'P'NDA ITEM
Revi,od T09
MONROF', (,"OUNTY BOARD ("OMMISSIONFRS
CONTRACTSI JMMARY
Contract with: Guidaricc/Carc (-'enter Contract Amendment 95
EfTective Date: 07/01/2014
Expiration Date: 08/")1/2014
COntr8et PUrposc/Dcscription:
Approval of'Arriendment 45 between the Monroe COLInty ("OnInlUnity 'Transportation
C'oordim,,itor. Guidance/Care ( enter. Inc. and the .Monroe...( ojj!ty_�3c�arc�cif.
----------
C',ornmissioners for the period ot'July 1 2014 through August 3 1., 2014, allowing for the
reimbursement of'Medicald trips.
..........
Contract Manager: Sheryl Graharn 292-4510 Social Services/Stop 91
(Name) (Depauttrient/Stop
for BOCC meeting on 08/20/2014 Agenda Deadline: 08/05/2014
("ONTRAC ITCOSTS
Total Dollar Value of Contract: $ $11,667 Current Year Portion: $ 0
MAX/
S5,833 Per
month
Budgeted? Yes[:] No L] Account Codes.- 01,01,111-161.11 510112-1513-.O,49.1151- l.-II....11.1.11.-..".
Grant: $ 0
County Match: $ 0 ..............
ADDITIONAL ,OS TS
I-11'stinlatc(l Ongoing (,osts: $.O,.,,/,Yl, For-
(Not included in dollar value above) (eg. maintenance, utilifies.,janitorial, salaries,etc.
("ONTRACT Rl"VlL'W
Changcs Date Out
Ncedcd
Division Director YesL j No[ ]
11,1t,_411'I"'_............... ..................................
rvu .......... r , I
s '77
7
lrsl IVI1aGape Arad tat `7
O.M.B./Purchasing Yes[,] NoF-JV
County Attorney
---_--------- No[
Corntrients:
...........
-------------
~ `
STATE DFFLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
MEDICAID NON-EMERGENCY TRANSPORTATION (NET) PROGRAM
SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT
AMENDMENT NO, 5
This amendment entered into on July 1. 2014. by and between the Guidance/Care Center. Inc..,
hereinafter called "Coordinator" and Monroe County Board of County Commissioners/Monroe County Social
Services, hereinafter called ^Pnovide�,
VV|TNESSETK
WHEREAS, this amendment and extension is necessitated by the implernentation of Florida's Managed
Medical Assistance Program administered by the Agency of Health Care Administration and is beyond the control
of the Coordinator and/or the Commission for Transportation Disadvantaged.
NOW, THEREFORE, the aforesaid Agreement is hereby emended in the following raspecta�
i Services and Performance: The services and performance of the agreement is not changed.
2, Term ofAgreement: The term ofthe agreement is extended and will remain in effect until
3, Compensation and Payment, Effective Julv 1, 2014. Section | is deleted in its entirety to remove the
previous contract ceiling and im replaced with the following:
For the satisfactory performance of the service and the submittal of Encounter Data as outlined in Exhibit
/\. Scope of Service, the Provider shall submit monthly trip data in a format acceptable to the Coordinator
The Provider will be paid, after the Coordinator has received payment from the Commission, inthe
amount of$1 33 per mile, and $3,00 Mat naba per client per mu|ti|oad for Medicaid eligible hips, The
Provider shall submit invoices inaformat acceptable bo the Coordinator
4, Exhibit/4. Scope of8ervices� The Coordinator shall pay the Provider upon satisfactory completion ofall
terms and conditions specified in the Agreement, per mile or flat rate for each category listed below. The
number,ofMedicaid recipients for each category ohoU be provided to the Coordinator monthly,
Medicaid Recipients EnroUmentCataQmhe&
Excluded Population
� Children receiving services in a prescribed pediatric extended care center(PPEC)
* Presumptively Eligible Pregnant Women (PEPVV)
� Women who are eligible only for breast and cervical cancer services
Voluntary Population
Recipients enrolled in the home and community based services waiver pursuant to Chapter 393
needing transportation to a non-waiver Medicaid compensable service, and recipients waiting for
waiver services (Persons with Developmental Disabilities).
Mandatory Population
w Medicaid eligible persons not enrolled in e plan,
5 Exhibit A, Scope of Services—X1 Method of Payment, Effective July 1, 2014, Section C, is deleted in its
� ..
EXCEPT as hereby modified, amended, or changed, all other terms of the Agreement dated January 1, 2010 and
amendments 1. 2. 3. 4shall remain in full force and effect
In witness whereof, the authorized representatives of the Pates have executed this AMENDMENT, effective
July 1. 2O14
Guidance/Care Center. Inc. Board of County Corn misskoners. Monroe County
�|B0ATURE SIGNATURE
Director ofTrans ortation 07/01/14
TITLE DATE TITLE DATE
yWaureenG qwi
PRINTED NAME PRINTED NAME
- /
110,AAD
AG17NDA TTE,,N] SUNIMIARN,
41,
B�flk 1itemk, Nt.-C,, x M,,,� Departrnerit. Social Services
St.-aff I 0'uhanl ,-0, 10
AC'wENDA I'VEM WORDING: Apipfc)Afau, 44 ilte
lanspor-tallor" Coordimlf"T,9-, Guidarce/f."are"Center" Inc. and ihe !,vforwoc Couniv Bow d ofCounty
cm- cxnrmrauc�t pe%-,j4)Aj tf q;h('),6/30,/"0!"4 fi,' tile feimbcuseynent of
3 i,,ro 4.
ITEM Amendfmcnt #4 is 'up,v, kic-,dicaid, iMocalexi by the State offlorida
fbr Pht�� 11'ransponation F)isadvatitage,4"'I to the Cl C, to reinibin'se klonroc Countv
Transit fcm, providMg Mt,xilcaid trips
T T,
7,77,-rx- FT RE. 7q,
S'I'AFFRE('.,'OMMi..',NI)A'I'�IONS.,. Ap,,pvwal
TOTA L C"0S7"-
1,
DIFFEREA"ITAL OFLOCAL PIZEFFAENCE.-
COSTTO COU SO I..,RC'E OF Ft��N DS. Medicaid
RE'VENUT PRO D[,JC ING: Yes, x I 'No JAI z%K)UN T VER INIONTH Year 57(
71)
A
ATFIRONVED Ry� ('01krify 'AMY A Ri��,k nagement
...............
A `dc DO(AMENTATION: I u -4111 Not Itc,,4 t,6i-cd
DISPOSITION- A E N , A IT E M 4
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contractwith- Guldance/Care Center,Tne,(7ontract, Amedment #4
Effective Date: 07/01/2013
Expiration Date: 06/300014
Contract Purpose/Dewription,
Amendment #4 with the State of Horida Commission for the Transportation
Pisadw'!Me4Nedicaid Prolpwnwill allow Monroe
onroe
County Transit to receive reimbursement for the transit services rendered to Monroe County's
Aded�caidrruiatxc►n for their medical trips.___.._ _._..._,___ ..___.._ ._ .__.__. .___.._.__.__ .
Contract
Managers -Sheryl Graham 4510
(Name (E (Department/Stop 9)
1 for BOCC meeti!jg.on 06/19/2013 �enda Deadline: 06/04/2013
CONTRACT COSTS
Total Dollar Value of Contract: $ 70,000.00 Current Year Portion- $ 0
max.
.Budgeted? Yes[E No n Account Codes-
Grant: $ 0
County Match, $
ADDITIONAL COSTS
Estimated Ongoing Costs- $ 0 /yr For:
(Not included in dollar value above) (eg-mmwznance,idififies,jmitorial,sAifies.etc.)
CONTRACT REVIEW
Changes t Date Out
Date In Needed e
Division Director YesEl N 0 YesEl N 1 Risk Management 5 011;�r-
I O.M.B./Purchasing j Yes[] NOO 5 Al
County Attorney Yeso Nc:p
Comments:
OW Form Revisal 2127/01 MCP#2
STATE DFFLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
— MEDICAID NON-EMERGENCY TRANSPORTATION (NET) PROGRAM
SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT
AMENDMENT NO, 4
This amendment entered into on July 1. 2013. by and between the Guidance/Care Center, Inc.,
hereinafter called ~Coordinator" and Monroe County Board of County Commissioners, hereinafter called
"Subcontracted Transportation Provider'
VV|TNESSETH:
WHEREAS, the Coordinator and the Subcontracted Transportation Provider heretofore on
January 1, 2010, entered into an Agreement, hereinafter called the Original Agreement;
WHEREAS, the Coordinator desires to participate in all eligible items of development for this
project as outlined in the attached amended Exhibit B.
WHEREAS, this amendment is necessitated by the amendment of the contract between the
Cuo,dinahor, and the Commission for Transportation Disadvantaged.
NOW, THEREFORE, THIS INDENTURE WITNESSETH; that for and in consideration of the mutual
benefits to flow from each to the other, the parties hereto agree that the above described Agreement is to
be amended asfollows:
1� Purpose of Agreement: The purpose of the agreement is not changed.
_ 2. Accomplishment of the Agreement: The accomplishment ofthe agreement is not
changed.
3. Expiration of Agreement: Paragraph 2. TERM of said agreement is amended to be
June ��O 2014
4 Amount: The reimbursement amount for this amendment has not changed. The Provider
shall be paid up to a maximum amount of $70,000. The Provider shall submit monthly
trip data in o honnot acceptable to the Coordinator. The Provider will be paid, after the
Coordinator has received payment from the Commission in the amount of$3 OO per mile
with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County trips and $3OOflat
rote per client pernnu|it|oad for Medicaid eligible trips.
5 Exhibit Bof said Agreement ig replaced by Amended Exhibit B and ieattached
hereto and made a part hereof.
January I 2010, shall remain in full force and effect. This amendment cannot be executed unless all
previous amendments to this Agreement have been fully executed.
^ ^, .
- _ /
-
AGREEMENT AMENDMENT DATE: July 1. 2O13
EXHIBIT B
AMENDMENT # 4
METHOD OF COMPENSATION
For the satisfactory performance of the services and the submittal of Encounter Data as outlined
in Exhibit A, Scope of Services, the Subcontracted Transportation Provider payments shall be paid up to
a maximum amount of$70.000. The Provider shall submit monthly trip data in a format acceptable tothe
Coordinator. The Provider will be paid. after the Coordinator has received payment from the Commission
in the amount of$3.00 per mile with a 5 mile minimum, $2.00 per mile for preauthorized out-of-County
trips and $3.OD flat rate per client per nnuUt|Vad for Medicaid eligible trips. The Subcontracted
Transportation Provider shall submit invoices in a format acceptable to the Coordinator, The
Subcontracted Transportation Provider will be paid after the Coordinator has received payment from the
Commission.
1 Project Cost
The Subcontracted Transportation Provider shall request payment through submission of a properly
completed invoice to the Coordinator, Once the Coordinator has signed the invoice for approval, the
Coordinator shall submit the approved invoice to the Commission for Transportation Disadvantaged.
County: Monroe
_ 2. Disbursement Schedule of Funds
July 1. 2013 —June 30, 2014: not to exceed $70'000,00
ir vitnee� whereof, the parties hereto have caused these presents to be executed, the day and year first
above written,
Guidance/Care Center, Inc. Board of County Commissioners, Monroe County
Director of Transportation 05/15/13 k4