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Resolution 246-1979 RESOLUTION NO. 246-1979 A RESOLUTION AUTHORIZING THE MAYOR AND CHAIRMAN OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, TO EXECUTE AN AGREEMENT BY AND BETWEEN THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, AND THE DADE-MONROE MENTAL HEALTH BOARD, INC., DISTRICT XI, FOR BAKER ACT MATCHING FUNDS. BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, as follows: That the Mayor and Chairman be authorized to execute an Agreement by and between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, and the DADE-MONROE MENTAL HEALTH BOARD, INC., DISTRICT XI, a copy of same being attached hereto, for Baker Act Matching Funds. Passed and adopted by the Board of County Commissioners of Monroe County, Florida, at a regular meeting held on the 23rd day of October, 1979. BOARD OF COUNTY COM~1ISSIONERS OF MONROE COU TY, FLORIDA ,/ By aIrman (Seal) Attest: "'-~) (U- /' ,,' / //, :-" '" '-->>~/ l?.-r/ {C/' ,-e!!'"' ler APPROVED AS TO FORM ANDLEGALSUfRC~NCY. -2,' ;l / / '?' /1 ,;"///;i / 8y{tL( l~:G~~ 1.-1 Auome'('s Offic~ BOOK 'II 'I IO-~3-f\\ PAGE \ ~ 5 APPROVED ON 4-1.... ClC- L -t{ { (,-r~ ..:; t..i \<' - \ q .') 7 AGREEMENT FOR BAKER ACT MATCHING FUNDS THIS AGREEMENT, Made this 23rd day of October 1979, by and between the BOARD OF COUNTY COMMI SS WNERS OF MONROE COUNTY, FLORIDA, hereinfater referred to as "BOARD", and the DADE-MONROE MENTAL HEALTH BOARD, INC., District XI, hereinafter referred to as "DISTRICT", For and in consideration of the mutual covenants made herein, the parties hereby agree as follows: (1) The Board agrees to reimburse the District twenty- five per cent (25%) of total District expenditures for Baker Act hospital and physician 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 pro- cedures. This cost is not to exceed a total reimbursement of Thirty Thousand Dollars ($30,000.00) during the period beginning October I, 1979 and ending September 30, 1980. (2) The District agrees to provide to the Board on a regular basis a copy of the Summary Record of Bills Paid (BA-99a) from which reimbursement due the District can be calculated; however, copies of individual client bills will not be available for inspection by the Board for reimburse- ment pruposes in order to comply with regulations safe- guarding the patient's right to confidentiality. Copies of individual client bills are kept on file in the District's business office and will be made available under controlled conditions 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 on the expenditure of County funds for the above specified purposes. Page 1 of 2 Pages 'f~ This agreement shall terminate at 11:59 p.m., September 30, 19:8:0, and the Board shall not be liable under the terms of this agreement for any liability incurred after the time of termina- tion; however, the Board shall be liable for outstanding costs incurred prIor to the termination of this agreement provided the District submits to the Board the required Summary Record of Bills Paid within three (3) weeks of the date of termination of this agreement, provided however, that the maximum of reimbursement specified above is not exceeded. This agreement may also be terminated by either party upon thirty (30) days written notice delivered by certified mail to the party receiving notice of termi- nation. County warrants or check 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 COMf\IISSIONERS 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 its name by its President and Secretary of the Board all as of the 23rd day of October , 1979. BOARD OF COUNTY cr IvIMI SS lONERS OF MONROE CO TY, E ORIDA By . (Seal) Attest: / ... / DADE-MONROE MENTAL HEALTH BOARD, INC., :4tXI~~ President (Seal) '[LlUl- Y~JJ/,) C{.~ L); lerk -- APPROVED AS TO FORM ANDLEGALSUFAC~NCY. . ,/ Attest: BY / ' (/ --- -' '/ /' ~ c /,<-: /~ ------.... Ar:orn6y's OfficfIJ Page 2 of 2 Pages '+Lf-