1st Amendment 02/18/2004
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
February 23, 2004
TO:
Louis Latorre, Director
Social Services Division
ATTN:
FROM:
Dotti Albury
Pamela G. Hanc~
Deputy Clerk V
At the February 18, 2004, Board of County Commissioner's Meeting the Board granted
approval and authorized execution of Amendment 0001 to Contract KG047, Community Care for
Disabled Adults (CCDA) between the State of Florida, Department of Children and Families and
the Monroe County Board of County Commissioners (Monroe County Social Services/In-Home
Services Program) for Fiscal Year July 1,2003 through June 30, 2004.
Enclosed are four duplicate originals, executed on behalf of Monroe County, for your
handling. Please be sure to return the fully executed "Monroe County Clerk's Office
Original" and the "Monroe County Finance Department's Original" as soon as possible.
Should you have any questions please do not hesitate to contact this office.
cc: County Administrator w/o document
County Attorney
Finance
File /
O!!~rY Ao~~~E
(305) 294-4641
("~'---
BOARD OF COUNTY COMMISSIONERS
MAYOR Murray E. Nelson, District 5
Mayor Pro Tern David P. Rice, District 4
Dixie M. Spehar, District 1
George Neugent, District 2
Charles "Sonny" McCoy, District 3
.
MEMORANDUM
DATE:
Belle DeSantis and/ or Pam Hancock, Deputy Clerk(s), Clerk of the Circuit Court
Dotti Albury, Administrative Assistant, In-Home servic~
3/12/2004
TO:
FROM:
RE:
Amendment #0001 to Contract #KG047
On February 18, 2004 the Board of County Commissioner's granted approval and authorized execution of
Amendment #0001 to Contract #KG047 (7/1/03 - 6/30/04) between the State of Florida Department of Children
& Families and the Monroe County Board of County Commissioners/Monroe County Social Services to change
the contract amount from $91,713.00 to $ 83,599.00 at a reduction of $8,114.00.
Enclosed are two (2) fully executed originals of Amendment #0001 of contract KG047 between the Florida
Department of Children And Families, and Monroe County. The "Monroe County Clerk's Original" and the
"Monroe County Finance Division's Original". Thank you for your help, it is appreciated.
Cc: Deloris Simpson, Senior Administrator, In-Home Services
Enclosures
l\\~4'1!'ll~ C@q~ ap,~'r. $)ffl~ Onmnal
CONTRACT #KG047
AMENDMENT #0001
THIS AMENDMENT, entered into between the Florida Department of Children and Families,
hereinafter referred to as the "department" , and Monroe County (Monroe County In Home Services),
hereinafter referred to as the "provider", amends contract KG047.
I. Standard Contract, Section II, Paragraph A is hereby amended to read:
To pay for contracted services according to the terms and conditions of this contract in an amount not
to exceed $83,599.00, subject to the availability of funds. The State of Florida's performance and
obligation to pay under this contract is contingent upon an annual appropriation by the Legislature.
Any costs or services paid for under any other contract for from any other source are not eligible for
payment under this contract.
2. Attachment I, Section C, Paragraph I.a., l.b and I.c. are hereby amended to read:
a. This is a fixed price (unit cost) contract. The department shall pay the provider for the delivery of
service units provided in accordance with the terms of this contract for a total dollar amount not to
exceed $83,599.00, subject to the availability of funds.
b. The department shall make payments to the provider for provision of services up to the maximum
number of units of service at the rates shown below:
Service Units U nit Price Maximum # of Units
Case Management $47.73 220
Personal Care $51.11 278
Homemaking $27.1 I 1,241
Home Delivered Meals $ 6.97 4,786
c. The provider's dollar match for this contract is $9,288.78. Case management and transportation
services may be exempt from match requirement at the discretion of each district.
3. Attachment I, Section C, Paragraph 4 is hereby added:
4. Medicaid Billing
The department and the provider specifically agree and acknowledge that the Medicaid
program is the payor of last resort, and
(I) in no event shall the provider bill the Medicaid program for services or expenses for
Medicaid recipients for which the provider has already been paid by any other liable
third party, and
(2) provider services covered under the Florida Medicaid program for Medicaid recipients
may be billed to the Medicaid program by the provider, unless the provider is already
being paid by any other liable third party, and
(3) authorized provider services to non-Medicaid recipients, or for non-Medicaid covered
services, may only be billed to the
department or any other non-Medicaid first or third party payor, and
(4) the provider shall identify and report Medicaid earnings separate from all other fees,
and
(5) Medicaid earnings cannot be used as local match, and
(6) the provider shall ensure that Medicaid payments are accounted for in compliance with
federal regulations, and
(7) in no event shall both Medicaid and the department be billed for the same service.
4. This amendment shall begin on March I, 2004, or the date on which the amendment has been signed by
both parties, whichever is later.
5. All provisions in the contract and any attachments thereto in conflict with this amendment
shall be and are hereby changed to conform with the amendment.
6. All provisions not in conflict with this amendment are still in effect and are to be performed at the level
specified in the contract.
7. This amendment and all its attachments are hereby made a part of this contract.
IN WITNESS WHEREOF, the parties hereto have caused this 2 page amendment to be executed by their
officials thereunto duly authorized.
TITLE: Ma or
PROVIDER: MONROE COUNTY
(Monroe County In Home Services)
SIGN~
BY: ~ <:.-
NAM~: M rra E. Nelson
DATE February 18, 2004
FEDERAL ID NUMBER: 590600074902
UZA E . HUTTON
ASS1STAN1iOU~'; TTORNEY
DatL ~ ~,
FLORIDA DEPARTMENT
OFC~S
SIGN
BY:
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