Subject:
Title
Approval of a Rate Resolution to Impose Non-Ad Valorem Special Assessment for the State’s Medicaid Managed Care for Direct Payment Program for Local Hospitals
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Fiscal Impact:
The non-ad valorem special assessments (Assessments) will be imposed, levied, collected and enforced solely on private for profit and non-profit local hospitals holding a right of possession and right of use to real property through ownership or lease hold interest in Brevard County. The County’s administrative costs associated with the implementation, collection, and enforcement of the Assessment will be funded by the private for-profit and non-profit hospitals through the Assessment program.
Dept/Office:
Budget Office
Requested Action:
Recommendation
It is requested that the Board of County Commissioners adopt a Rate Resolution that will impose non-ad valorem special assessments against private for-profit and non-profit local hospitals holding a right of possession and right of use to real property in Brevard County for the State’s Medicaid Managed Care for Direct Payment Program. Authorize the Chair to sign the Resolution and authorize the County Manager to execute any necessary budget change requests to implement the non-ad valorem special assessment program for the Medicaid Managed Care for Direct Payment Program for local hospitals and execute the Letter of Agreement with the State of Florida authorizing the County’s participation this this program.
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Summary Explanation and Background:
Representatives from the private for-profit and non-profit local hospitals (Local Hospitals) have requested the County consider the imposition of a non-ad valorem special assessment (Assessment) against real property owned by their Local Hospitals.
The Board on May 18, 2021 adopted Ordinance 21-14 establishing a non-ad valorem assessment program which Assessments will be used to benefit the assessed properties for local services provided by the private for-profit and non-profit hospitals in Brevard County. The Medicaid Managed Care Hospital Direct Payment program is a federally approved program that permits the State of Florida to access federal funds through Intergovernmental Transfer in order to direct the federal funds for managed care plan expenditures to hospitals for plan-covered services and offset the hospitals’ Medicaid shortfall.
The Ordinance provides the method of assessing these properties using the non-ad valorem special assessment as specified in Section 197.3631, Florida Statutes. The Assessment shall be assessed on an annual basis by a Rate Resolution adopted by the Board. The noticing requirements of the Ordinance were met and all property owners were mailed notices of the Assessment on August 19, 2022 and advertised on August 24, 2022.
Attached is the Non-Ad Valorem Assessment Roll (Exhibit A) that will be imposed against the real property owned by private for-profit and non-profit local hospitals in Brevard County. The Assessments will be mailed to the real property owners on September 13, 2022 and become due on November 30, 2022.
Clerk to the Board Instructions:
Please provide copies of the executed Rate Resolution to the County Manager’s Office, County Attorney’s Office and the County’s Budget Office.