09/08/1999
MEMORANDUM OF AGREEMENT
BETWEEN
THE DEPARTMENT OF CHILDREN AND FAMILIES
AND
MONROE COUNTY IN HOME SERVICES
PERTAINING TO
MEDICAID WAIVER PROGRAM SPENDING AUTHORITY FOR SFY 1999-2000
This Memorandum of Agreement outlines the Medicaid Waiver spending
authority for SFY 1999-2000 and details the responsibilities and the expectations
associated with this authority.
I. The Department of Children and Families (DCF) develops an allocation of Medicaid
Waiver spending authority by district each fiscal year using the original base amount
from the inception of the program.
2. The SFY 1999-2000 Medicaid Waiver spending authority for your program is
$27,512.00. Service providers must not exceed allocated spending authority limits.
DCF district program offices shall have access to all provider documentation that will
facilitate monitoring as needed.
3. Failure of providers to remain within allocated authorized spending authority limits
may jeopardize future legislative program appropriations and may result in economic
sanctions or provider dis-enrollment as a Medicaid Waiver Program provider.
Providers who exceed allocation are responsible for costs incurred.
. '...,...
4. The provider will execute an agreement similar to this agreement with their
subcontracted service provider agencies which outlines the provider's SFY 1999-
2000 Medicaid Waiver spending authority and their corresponding responsibility to
carefully manage client care plans and program spending authority within allocated
limits.
5. Providers will have to control all billings through care plans so as not to overspend
budget allocations. Providers will have to monitor subcontractor billings to ensure
adherence to care plans.
6. Providers will accept financial responsibility for service claims found to be out of
compliaQ.ce if they are the result of a failure by the Case Management A~ent<< to
update, renew, or terminate the service authorization , '~1~'t3!.~gq~~~NOW
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7. Providers will submit to DCF by the 10th of each month an expenditure report
showing the number of clients served, units and type of services provided, cost of
service unit, monthly cost of service and year to date cost. This report will also
include the number of clients on the waiting list at the beginning of the month, the
number added and deleted during the month and the final count at the end of the
month, See attached exhibit for the report form.
8. The district program office specialist will work with the provider and monitor
expenditures for problems that could contribute to the district exceeding program
spending authority.
9. Medicaid will furnish client data monthly on paid provider claims. DCF will sort the
data by district and forward management reports to district specialists who will then
utilize this data in working with providers. These reports will be helpful in
identifying program spending patterns among waiver providers and will assist in
managing program budgets.
10. DCF may provide an opportunity in October, 1999 for providers to reassess their
caseloads for possible additional shifts of CCDA funding to the Medicaid Waiver
Program. . '~
This Memorandum of Agreement will be in effect for the period July 1, 1999 through
June 30, 2000 or until otherwise revised or terminated.
PROVIDER: MONROE COUNTY
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STATE OF FLORIDA
DEPARTMENT OF
CHILDREN AND FAMILIES
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NAME: ELENA J-IET2.r2 GIlA
TITLE: IROtrtZlll'-f/J1Jf-/ i N/S.rRA tc> 12-
DATE: !O [;..;2 / tiC;
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