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File #: 20-855D    Version: 1
Type: Delegated Item Status: Passed
File created: 7/27/2020 Department: Human Services
On agenda: 10/20/2020 Final action: 10/20/2020
Title: Agreement with Community Health Centers of Pinellas, Inc. to support expanded local services.
Attachments: 1. FY21 CHC Funding Agreement for signature, 2. Attachment 1- Expansion Summary
Related files: 17-894D, 19-586D, 17-747A, 18-652D, 20-1012D
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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Subject:

Title

Agreement with Community Health Centers of Pinellas, Inc. to support expanded local services.

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Recommended Action:

Recommended Action

Approval and execution by the County Administrator of the Agreement with Community Health Centers of Pinellas, Inc. (CHC) to continue participation in the Pinellas Opioid Task Force and substance abuse prevention activities, expanded healthcare services in the Lealman community, and expanded dental services in Clearwater and south St. Petersburg.

• This Agreement provides funding in the form of Intergovernmental Transfers (IGT) for participation in the State Low Income Pool (LIP) to continue to support CHC’s expanded healthcare services.
• Funding in an amount not to exceed $525,831.00 has been identified in the Human Services’ anticipated General Fund appropriation for Fiscal Year 2021 (FY21). 
Parties agree payment will be made to the State of Florida on behalf of CHC pursuant to the LIP Letters of Agreement or subsequently designated state low-income healthcare pool.  This will result in enhanced program funding in the anticipated amount of $777,767.00, for a total of $1,303,598.00 to be utilized for expanded services. 
• On September 26, 2017, the Board of County Commissioners of Pinellas County (Board) granted the County Administrator authorization to execute necessary agreements with the state and with local partners related to IGT’s pursuant to Resolution 17-70.
• From October 2019 through June 2020, CHC maintained 12 Naloxone distribution points, provided over 2,101 dental encounters in south St. Petersburg and Clearwater, and provided over 5,341 medical encounters in their Lealman clinic.

Body

 

Strategic Plan:

Ensure Public Health, Safety, and Welfare
2.1 Provide planning, coordination, prevention, and protective services to ensure a safe and secure community
2.2 Be a facilitator, convener, and purchaser of services for those in need

Deliver First Class Services to the Public and Our Customers
5.1 Maximize partner relationships and public outreach
5.2 Be responsible stewards of the public’s resources
5.3 Ensure effective and efficient delivery of county services and support

 

Summary:

This Agreement provides funding in the form of IGT for participation in the State LIP to continue to support CHC’s expanded healthcare services as originally proposed in fiscal year FY18.  Activities continuing under this fourth year of funding include: active participation in the Pinellas County Opioid Task Force, distribution of naloxone kits, provision of annual substance abuse prevention training for providers, ongoing education related to opioid deaths and abuse prevention, utilization of  CHC’s Obstetrics Program to work with partners on assisting with Substance Exposed Newborns, provision of expanded health care services for residents of the Lealman community, and support of increased access to dental care for residents of Clearwater and south St. Petersburg. 

From the County’s participation and support of $525,831.00 in IGTs on CHC’s behalf, an estimated $1,303,598.00 will be available to CHC through LIP to aid in providing expanded services within the community.

 

Background/Explanation:

Pinellas County continues to seek opportunities to assist local hospital and healthcare partners in maximizing revenues while serving our most needy citizens.  State funding known as Medicaid LIP allows local governments to increase certain Medicaid hospital and other healthcare provider payments by providing the required State Medicaid Assistance Percentage (SMAP) through Intergovernmental Transfers (IGTs).  The source of SMAP must be locally generated tax dollars.

CHC is a non-profit Federally Qualified Health Center (FQHC) that provides affordable, high-quality primary health care services to the residents of Pinellas County. 

From October 2019 through June 2020, CHC maintained 12 Naloxone distribution points, provided over 2,101 dental encounters in south St. Petersburg and Clearwater, and provided over 5,341 medical encounters in their Lealman clinic.

 

Fiscal Impact:

Appropriation in the amount of $525,831.00 is consistent with the development of the FY21 Budget. 

Parties agree payment will be made to the State of Florida on behalf of CHC pursuant to the LIP Letters of Agreement or subsequently designated state low-income healthcare pool.  This will result in enhanced program funding in the anticipated amount of $777,767.00, for a total of $1,303,598.00 to be utilized for expanded services. 

 

Delegated Authority:

Authority for the County Administrator to sign this Agreement is granted pursuant to Resolution 17-70.

 

Staff Member Responsible:

Daisy Rodriguez, Director, Human Services

 

Partners:

Community Health Centers of Pinellas
Pinellas Opioid Task Force

 

Attachments:

Funding Agreement
Expansion of Health Services Summary