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  County Administrator's Report     13. 28.    
BCC Regular Meeting Budget & Finance Consent  
Meeting Date: 11/06/2014  
Issue:    Amendments #2 and #3 to Agreement With State of Florida Commission for the Transportation Disadvantaged
From: Joy D. Blackmon, P.E.
Department: Public Works  
CAO Approval:

RECOMMENDATION:
Recommendation Concerning Amendments No. 2 and No. 3 to the Agreement with State of Florida Commission for the Transportation Disadvantaged - Joy D. Blackmon, P.E., Public Works Department Director

That the Board approve and ratify the County Administrator's signature on Amendments No. 2 and No. 3 to the State of Florida Commission for the Transportation Disadvantaged (CTD) Medicaid Non-Emergency Transportation (NET) Program Subcontracted Transportation Provider Agreement, regarding changes in the dates of implementation of Florida’s Managed Medical Assistance Program administered by the Agency for Health Care Administration.  Escambia County Board of County Commissioners is the Community Transportation Coordinator (CTC) for Escambia County and, as such, is responsible for providing transportation for the transportation-disadvantaged in our County, with funding assistance from the CTD.

The rates for transporting Medicaid-eligible passengers changed on August 1, 2014, due to the implementation of Florida's Managed Medical Assistance Program. 

[Funding:  The Florida Commission for the Transportation Disadvantaged provides funding for the CTC, available in Fund 104, Mass Transit]
BACKGROUND:
Meeting in regular session on June 26, 2014, the Board of County Commissioners voted to authorize the County Administrator or Assistant County Administrator to sign and execute all further documents which may be required in connection with the Escambia County BCC acting as the Community Transportation Coordinator (CTC).

Both Amendments are necessitated by the implementation of Florida’s Managed Medical Assistance Program, administered by the Agency for Health Care Administration, and is beyond the control of Escambia County, Board of County Commissioners, also referred to in the Agreement as "Subcontracted Transportation Provider", or STP.

The modification in Amendment 2:  Terms of Agreement: The term of this agreement is extended and will remain in effect until December 31, 2014.  (See attachment)

After Administrator Jack Brown signed Agreement No. 2, staff received from the Commission for the Transportation Disadvantaged Amendment No. 3. With the Amendment came this information from the CTD:

In 2011, the Florida Legislature created Part IV of Chapter 409, Florida Statutes, directing the Agency to create the Statewide Medicaid Managed Care (SMMC) program. The SMMC program has two key components: the Managed Medical Assistance program (MMA) and the Long-term Care program.

The rollout period for the MMA program began on May 1, 2014, and recently ended with its final region transitioning on August 1, 2014. During this transition period the non-emergency transportation provider agreements/contracts which were ending June 30, 2014 were extended to August 31, 2014 and were amended to reflect the new rate structure.

The Commission had hoped to have a new contract in place by September 1, 2014, but there were still details to work out with AHCA, at which point Amendment No. 2 was created, extending the terms from August 31, 2014 until December 31, 2014.

Amendment No. 3 further extends the terms of the agreement to February 28, 2015, to align the CTCs with the Commission’s contract with AHCA.

The modification in Amendment 3: Terms of Agreement: The term of this agreement is extended and will remain in effect until February 28, 2015. (See attachment)
BUDGETARY IMPACT:
The Florida Commission for the Transportation Disadvantaged provides funding for the CTC, available in Fund 104, "Mass Transit."
LEGAL CONSIDERATIONS/SIGN-OFF:

N/A

PERSONNEL:
N/A
POLICY/REQUIREMENT FOR BOARD ACTION:
This recommendation is in compliance with Chapter 46, Article II of the Escambia County Code of Ordinances.
IMPLEMENTATION/COORDINATION:
The Escambia County Community Transportation Coordinator representative will forward the original Agreement documents to the State of Florida Commission for the Transportation Disadvantaged (CTD) for signature, and will continue to act as a liaison between the CTD and the subcontracted Operator.

Attachments
Medicaid Amendment 2
Medicaid Amendment 3

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