Legislation Details

File #: 26-1764   
Type: Consent Agenda Status: Approval Review
File created: 9/2/2026 In control: Board of County Commissioners
On agenda: 9/15/2026 Final action:
Title: Approve the Low Income Pool Letter of Agreement with the State of Florida Agency for Health Care Administration for the State share of matching funds on behalf of Tri-County Human Services for State Fiscal Year 2026-2027 and give the County Manager the authority to sign the Intergovernmental Transfers Questionnaire. (not-to-exceed $476,599.00 one-time expense).
Attachments: 1. SFY 2026-27 LIP LOA_Tri County Behavioral Health, 2. IGT_Provider_Questionnaire - TCHS
Date Action ByActionResultAction DetailsAgenda DetailsVideo
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SUBJECT
title
Approve the Low Income Pool Letter of Agreement with the State of Florida Agency for Health Care Administration for the State share of matching funds on behalf of Tri-County Human Services for State Fiscal Year 2026-2027 and give the County Manager the authority to sign the Intergovernmental Transfers Questionnaire. (not-to-exceed $476,599.00 one-time expense).
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DESCRIPTION
The Low Income Pool program is authorized by the federal Centers for Medicare and Medicaid Services through waivers and State plan amendments. The program provides government support for safety-net health care service providers for the costs of uncompensated charity care for uninsured low-income individuals. County governments use InterGovernmental Transfers to send matching funds to the State Agency for Health Care Administration as the State share on behalf of qualifying health care service providers. The State draws down the federal matching funds based on utilization and sends total combined funds directly to the health care service providers.
The State provided the County with a Letter of Agreement that includes the State match in the amount required in order for Tri-County Human Services to benefit from the Low Income Pool program. The County will transfer an amount not-to-exceed $476,599 allowing approximately $749,399 to flow back directly to Tri-County Human Services, including a net benefit of an additional $272,800, further supporting Tri-County Human Services in its ability to provide health care services to Polk County’s low-income residents.
Including this State Fiscal Year 2026/2027 Low Income Pool match opportunity, a total of approximately $2.8 million will have been leveraged through the indigent health care fund over the past 5 years to return a benefit estimated in the amount of $6.8 million directly to Tri-County Human Services towards uncompensated care for uninsured Polk County residents.
This match funding opportunity was presented to and was reco...

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