Resolution 012-1982d
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RESOLUTION NO. 12-1982
RESOLUTION AUTHORIZING THE CHAIRMAN OF THE BOARD
OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA,
TO EXECUTE AN AGREEMENT FOR BAKER ACT MATCHING
FUNDS BY AND BETWEEN THE BOARD OF COUNTY COMMIS-
SIONERS OF MONROE COUNTY, FLORIDA, AND THE DADE-
MONROE MENTAL HEALTH BOARD. INC., DISTRICT XI.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA) as follows:
That the Chairman of the Board of County Commissioners of Mon-
roe County, Florida, is hereby authorized to execute an agreement for
Baker Act Matching Funds by and between.the Board of County Commis-
sioners of Monroe County, Florida, and the Dade -Monroe Mental Health
Board, Inc., District XI, a.copy of same being attached hereto.
Passed and adopted by the Board of County Commissioners of Mon-
roe County, Florida., at a regular meeting held on the 12,-h day of
January , A.D. 1982.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
I • L
Al"PRI 2 vFCAS" ?a FOPM-111
9
agjjl
Y
AGREEMENT FOR BAKER ACT
MATdHING FUNDS
i
THIS AGREEMENT, made this 12th day of January
1982, by and between the BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, hereinafter referred to as "BOARD", and the DADS-
MONROE MENTAL HEALTH BOARD, INC.,.District XI, hereinafter refer-
red to as "DISTRICT",
For and in consideration of the mutual covenants made here-
in, the parties hereby agree as follows:
(1) The Board agrees to reimburse the District twenty-five
percent (250) of total District expenditures for Baker Act hos-
pital, physician, and cris;i.s stabilization services, as billed
to the District on state approved Baker Act Billing Forms (HRS 346)
for clients qualifying for such services under applicable state
and federal regulations and eligibility determination procedures.
This cost is not to exceed a total reimbursement of Thirty -Eight
Thousand Two Hundred Eighty Dollars ($38,280) during the period
beginning October 1, 1981-and ending September 30, 1982.
(2) The District agrees to provide to the Board on a
regular basis a copy of the Baker Act Summary Billing Form from
which reimbursement due the District can be calculated; however,
copies of individual client bills will not be available for in-
1
spections by the Board for reimbursement purposes in order to
comply with regulations safeguarding the patient's right to con-
fidentiality. Copies of individual client bills are kept on file
in the District's business office and will be made available under
controlled condition to qualified auditors for audit purposes.
The District further agrees to provide the.Board any Baker Act
statistical data normally available to the District and to make an
annual report to the Board of the expenditure of County funds for
the above specified purposes.
Paige 1 of 2 Pages
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This agreement.shall terminate at 11:S9- P.M., September 30,
1982, and the Board shall lot be liable under the terms of this
agreement for any liability incurred after the time of termination;
however, the Board shall b,e liable for outstanding costs incurred
prior to the termination of this agreement provided the District
submits to the Board the required Baker Act Summary Billing Form
within three (3) weeks of'the date of termination of this agree-
ment, provided, however, that the maximum of reimbursement
specified above is not exceeded. This agreement may also be ter-
minated by either party upon thirty (30) days written notice de-
livered by certified mail;to the party receiving notice of ter-
mination.
County warrants or checks written for reimbursement to the
District shall be made payable to the Dade -Monroe Mental Health
Board, Inc.
IN WITNESS WHEREOF, ;the BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, has caused these presents to be signed
in its name by its Chairman, Board of County Commissioners, and
the Clerk of the Board of County Commissioners, and the Dade -
Monroe Mental Health Board, Inc., District XI, has caused these
presents to be signed in tis name by its President and Secretary
of the Board all as of the ILfk day of 1AV00,(y 1982.
(SEAL)
Attest:
Secretary
BOARD OF COUNTY COMMISSIONERS
OF MON E COUNTY, FLORIDA
ay Chairman
DADE-MONROE MENTAL HEALTH BOARD, INC.
District XI
By
resiaen
APP JVED AS rO FORM
�WEGAL SUFFICfENC
% to
RY -
Afforney's Office '
Page 2 of 2 Pages
P
AGREEMENT FOR BAKER ACT
MATCHING FUNDS
7
THIS AGREEMENT, made'this 12th day of amiary
i
1982, by and between the BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, hereinafter referred to as "BOARD", and the DADE-
MONROE MENTAL HEALTH BOARD, INC., District XI, hereinafter refer-
red to as "DISTRICT",
For and in consideration of the mutual covenants made here-
in, the parties hereby agree as follows:
(1) The Board agrees to reimburse the District twenty-five
percent (25%) of total District expenditures for Baker Act hos-
pital, physician, and crisis stabilization services, as billed
to the District on state approved Baker Act Billing Forms (HRS 346)
for clients qualifying for such services under applicable state
and federal regulations and eligibility determination procedures.
This cost is not to exceed a total reimbursement of Thirty -Eight
Thousand Two Hundred Eighty Dollars ($38,280) during the period
beginning October 1, 1981.and ending September 30, 1982.
(2) The District agrees to provide to the Board on a
regular basis a copy of the Baker Act Summary Billing Form from
which reimbursement due the District can be calculated; however,
copies of individual client bills will not be available for in-
spections by the Board fox reimbursement purposes in order to
comply with regulations safeguarding the patient's right to con-
fidentiality. Copies of individual client bills are kept on file
in the District's business"office and will be made available under
controlled condition to qualified auditors for audit purposes.
The District further agrees to provide the Board any Baker Act
statistical data normally available to the District and to make an
annual report to the Board of the expenditure of County funds for
the above specified purposes.
Page 1 of 2 Pages
1. IS
I
'Phis agreement shall it erminate at 11:59 P.M., September 30,
1982, and the Board shall not he liable under the terms of this
agreement for any liability incurred after the time of termination;
however, the Board shall be liable for outstanding costs incurred
prior to the terminationof this agreement provided the District
submits to the Board the required Baker Act Summary Billing Form
within three (3) weeks of the date of termination of this agree-
ment, provided, however, that the maximum of reimbursement
specified above is not exceeded. This agreement may also be ter-
minated by either party upon thirty (30) days written notice de-
livered by certified mail.to the party receiving notice of ter-
mination.
County warrants or checks written for reimbursement to the
District shall be made payable to the Dade -Monroe Mental Health
Board, Inc.
IN WITNESS WHEREOF, the BOARD OF COUNTY COMMISSIONERS OF'
MONROE COUNTY, FLORIDA, has caused these presents to be signed
in its name by its Chairman, Board of County Commissioners, and
the Clerk of the Board of County Commissioners, and the Dade -
Monroe Mental Health Board, Inc., District XI, has caused these
presents to
be signed
in tis
name
by its
President
and Secretary
of the Board
all as of
the
f L+V%
day of
1982.
(SEAL)
Attest:
C -e
(SEAL)
Attest:
-Secre
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
B � GAY
;Mar hairman 61
DADE-MONROE MENTAL HEALTH BOARD, INC.
District XI
By
President
dIPF° O6'�L A$ TO POR 6f
,FW GAL'SUFFFICIENC
%' QBY
AiTarney's Office
Page 2 of 2 Pages
A G R E E M E N T
THIS AGREEMENT made this 12th day of JanUary
A.D. 1982, by and between the BOUNTY OF MONROE, STATE OF FLORIDA,
a political subdivision of the'State of Florida, hereinafter called
"County"; and the MONROE ASSOCIATION FOR RETARDED CITIZENS, a non-
profit organization, with offices at 102 Petronia-Street, Key West,
Monroe County, Florida, hereinafter called the "Association".
W I T N E S S E T 11:
WHEREAS, the County is authorized by Chapter 70.290 Laws of
Florida, 1970, to expend from the County General Revenue Fund such
sums as are deemed necessary and advisable for the care, treatment
and rehabilitation of the retarded inhabitants of Monroe County, -and
WHEREAS, the Association provides residential care, training
schools, diagnostic and evaluation services, parent counseling, and
other programs for retarded adults of Monroe County, and
WHEREAS, the County is desirous of having the Association pro-
vide such services to the retarded adults of Monroe County on a free
and unrestricted basis as an aid in Monroe County`s overall mental
health programs,
NOW THEREFORE, BE IT RESOLVED that in consideration of the promises
hereinafter contained, the parties hereto agree as follows:
I. The Association agrees to plan and assist in providing
services in the areas of.:
1. (a) Residential,care
(b) Diagnostic and evaluation services
(c) Sheltered workshop
(d) Case work service
(e) Training schools
(f) Other related services
for retarded adults of Monroe'County, as far as practical with the
funds to be provided by the County.
2. The Association agrees that the services provided here-
under shall meet the standards of the State Division of Mental Health
and Division of Mental Retardation.
3. The Association further agrees to provide a clear financial
audit trail for full accountability of funds received from said Board.
-2-
Certified monthly financial and service load reports will be made
available to the Board of County Commissioners of Monroe County, Fl-
orida, to validate the delivery of services under this contract. The
monthly financial report is due in the office of the Clerk of the
Board of County Commissioners of Monroe County, Florida, no later than
the 16th day of the following month. After the Clerk of the Board
pre. -audits the certified report, the Board will reimburse said. As-
sociation for its monthly expenses. However, the total of said monthly
payments in the aggregate sum shall not exceed the total amount of
$8,700.00 during the term of this contract.
4. The Association agrees to aid all retarded adults of
Monroe County without discrimination for any reason where such aid is
deemed necessary by the Association.
II. The County agrees to provide the sum of $8,700.00 for the pay-
ment of salaries and other direct expenses incurred in the rendition
of such services.
This Agreement shall be in effect for the period of (1) year be-
ginning the 1st day of October: 1981.
IN WITNESS WHEREOF the parties hereto have caused this instrument
to be executed on the day and year first above written.
COUNTY OF MONROE, STATE OF FLORIDA
B
airman t he'Boaro County
mmiss' hers of Monro County,
Florida
(SEAL)
Attest:
er
-3-
Signed, Sealed and Delivered
in Our Presence
i
MONROE ASSOCIATION FOR RETARDED
CITIZENS
By
�i(�se0 �Yi
Approved as to form and legal
su
By