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File #: 25-1666   
Type: Consent Agenda Status: Agenda Ready
File created: 9/9/2025 In control: Board of County Commissioners
On agenda: 9/16/2025 Final action:
Title: Approve three Low Income Pool Letters of Agreement with the State of Florida Agency for Health Care Administration as the non-federal/state share of matching funds for: 1) Central Florida Health Care, Inc. 2) Peace River Center for Personal Development, Inc. 3) Tri-County Human Services, Inc. (not-to-exceed $3,545,953.46 one-time expense).
Attachments: 1. SFY 25-26 LIP LOA Central Florida Health Care Inc, 2. SFY 2025-26 LIP LOA Peace River Behavioral Health, 3. SFY 2025-26 LIP LOA Tri-County Behavioral Health, 4. Back-up
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SUBJECT
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Approve three Low Income Pool Letters of Agreement with the State of Florida Agency for Health Care Administration as the non-federal/state share of matching funds for: 1) Central Florida Health Care, Inc. 2) Peace River Center for Personal Development, Inc. 3) Tri-County Human Services, Inc. (not-to-exceed $3,545,953.46 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 non-federal/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.
Approximately $67.9 million has been leveraged through the indigent health care fund over the past 18 years to return a benefit estimated in the amount of $169.8 million directly to qualified health care service providers towards uncompensated care for uninsured Polk County residents.
The State provided the County with Letters of Agreement that will include the non-federal/state match required in order for the following health care providers to benefit from the Low Income Pool program:
* Central Florida Health Care - match in the amount of $1,059,010.46
* Peace River Center - match in the amount of $1,786,675.00
* Tri County Human Services - match in the amount of $700,268.00
This funding was presented to the Citizen's Healthcare Oversight Committee in June 2025 and recommended for approval.
Since the statutory deadline for executed Letters of Agreement be provided to the State on or before October 1, 2025, administration is requesting ...

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