RON DESANTIS GOVERNOR SHEVAUN L. HARRIS ACTING …

February 15, 2021

RON DESANTIS GOVERNOR

SHEVAUN L. HARRIS ACTING SECRETARY

Erika Skula AdventHealth Carrollwood 7171 N Dale Mabry Hwy Tampa, FL 33614

RE: State Fiscal Year 2020 - 2021 Annual Scheduled Low Income Pool (LIP) Group 1, Tier 1 Payment Medicaid Number: 010094300

Dear Ms. Skula: Your facility has been deemed eligible to receive the associated payment under proviso language contained in the General Appropriations Act for state fiscal year 2020 - 2021. This proviso language directs payments to be made to facilities meeting eligibility criteria. The amounts of such payments are calculated according to the distribution methodology defined in the proviso.

The enclosed payment and previously disbursed payments represent 100% of your annual appropriation of $639,186 for state fiscal year 2020 - 2021. The formula used to determine the amount of your payment is shown on the enclosed calculation sheet.

I would like to take this opportunity to thank you for your ongoing commitment to Medicaid beneficiaries and indigent persons in Florida. Your contributions to the provision of adequate and appropriate health care to Floridians in need are truly appreciated.

If you have any questions regarding the above, please call Ryan Perry of my staff at (850) 4124132. Sincerely,

Lisa Smith, Bureau Chief, Medicaid Program Finance LS:rp Enclosure:

2727 Mahan Drive Mail Stop # 23 Tallahassee, FL 32308 AHCA.

AHCAFlorida AHCAFlorida AHCA_FL

State of Florida Agency for Health Care Administration

Medicaid Program Finance

Low Income Pool (LIP) Group 1, Tier 1 State Fiscal Year 2020 - 2021 Annual Payment

Medicaid Number : 010094300 Facility Name (current) : AdventHealth Carrollwood

Annual Group 1, Tier 1 distribution to your facility Amount being withheld from distribution in anticipation of funding reductions Total of your facility's annual Group 1 Tier 1 Payments

Total of your Group 1, Tier 1 Payments previously paid in this fiscal year Your Scheduled Group 1 Tier 1 Payment [1]

(A) (B) (A ? B) = (C)

(D) (E)

[1] This payment may be made by check or transferred electronically.

$639,186 $0

$639,186

$0 $639,186

February 15, 2021

RON DESANTIS GOVERNOR

SHEVAUN L. HARRIS ACTING SECRETARY

Lorenzo Brown AdventHealth DeLand 701 W Plymouth Ave Deland, FL 32720

RE: State Fiscal Year 2020 - 2021 Annual Scheduled Low Income Pool (LIP) Group 1, Tier 1 Payment Medicaid Number: 010187700

Dear Mr. Brown: Your facility has been deemed eligible to receive the associated payment under proviso language contained in the General Appropriations Act for state fiscal year 2020 - 2021. This proviso language directs payments to be made to facilities meeting eligibility criteria. The amounts of such payments are calculated according to the distribution methodology defined in the proviso.

The enclosed payment and previously disbursed payments represent 100% of your annual appropriation of $492,295 for state fiscal year 2020 - 2021. The formula used to determine the amount of your payment is shown on the enclosed calculation sheet.

I would like to take this opportunity to thank you for your ongoing commitment to Medicaid beneficiaries and indigent persons in Florida. Your contributions to the provision of adequate and appropriate health care to Floridians in need are truly appreciated.

If you have any questions regarding the above, please call Ryan Perry of my staff at (850) 4124132. Sincerely,

Lisa Smith, Bureau Chief, Medicaid Program Finance LS:rp Enclosure:

2727 Mahan Drive Mail Stop # 23 Tallahassee, FL 32308 AHCA.

AHCAFlorida AHCAFlorida AHCA_FL

State of Florida Agency for Health Care Administration

Medicaid Program Finance

Low Income Pool (LIP) Group 1, Tier 1 State Fiscal Year 2020 - 2021 Annual Payment

Medicaid Number : 010187700 Facility Name (current) : AdventHealth DeLand

Annual Group 1, Tier 1 distribution to your facility Amount being withheld from distribution in anticipation of funding reductions Total of your facility's annual Group 1 Tier 1 Payments

Total of your Group 1, Tier 1 Payments previously paid in this fiscal year Your Scheduled Group 1 Tier 1 Payment [1]

(A) (B) (A ? B) = (C)

(D) (E)

[1] This payment may be made by check or transferred electronically.

$492,295 $0

$492,295

$0 $492,295

February 15, 2021

RON DESANTIS GOVERNOR

SHEVAUN L. HARRIS ACTING SECRETARY

Robert Deininger AdventHealth Fish Memorial 1055 Saxon Blvd Orange City, FL 32763

RE: State Fiscal Year 2020 - 2021 Annual Scheduled Low Income Pool (LIP) Group 1, Tier 1 Payment Medicaid Number: 010182600

Dear Mr. Deininger: Your facility has been deemed eligible to receive the associated payment under proviso language contained in the General Appropriations Act for state fiscal year 2020 - 2021. This proviso language directs payments to be made to facilities meeting eligibility criteria. The amounts of such payments are calculated according to the distribution methodology defined in the proviso.

The enclosed payment and previously disbursed payments represent 100% of your annual appropriation of $436,802 for state fiscal year 2020 - 2021. The formula used to determine the amount of your payment is shown on the enclosed calculation sheet.

I would like to take this opportunity to thank you for your ongoing commitment to Medicaid beneficiaries and indigent persons in Florida. Your contributions to the provision of adequate and appropriate health care to Floridians in need are truly appreciated.

If you have any questions regarding the above, please call Ryan Perry of my staff at (850) 4124132. Sincerely,

Lisa Smith, Bureau Chief, Medicaid Program Finance LS:rp Enclosure:

2727 Mahan Drive Mail Stop # 23 Tallahassee, FL 32308 AHCA.

AHCAFlorida AHCAFlorida AHCA_FL

State of Florida Agency for Health Care Administration

Medicaid Program Finance

Low Income Pool (LIP) Group 1, Tier 1 State Fiscal Year 2020 - 2021 Annual Payment

Medicaid Number : 010182600 Facility Name (current) : AdventHealth Fish Memorial

Annual Group 1, Tier 1 distribution to your facility Amount being withheld from distribution in anticipation of funding reductions Total of your facility's annual Group 1 Tier 1 Payments

Total of your Group 1, Tier 1 Payments previously paid in this fiscal year Your Scheduled Group 1 Tier 1 Payment [1]

(A) (B) (A ? B) = (C)

(D) (E)

[1] This payment may be made by check or transferred electronically.

$436,802 $0

$436,802

$0 $436,802

February 15, 2021

RON DESANTIS GOVERNOR

SHEVAUN L. HARRIS ACTING SECRETARY

Jason Dunkel AdventHealth North Pinellas 1395 S Pinellas Ave Tarpon Springs, FL 34689

RE: State Fiscal Year 2020 - 2021 Annual Scheduled Low Income Pool (LIP) Group 1, Tier 1 Payment Medicaid Number: 010161300

Dear Mr. Dunkel: Your facility has been deemed eligible to receive the associated payment under proviso language contained in the General Appropriations Act for state fiscal year 2020 - 2021. This proviso language directs payments to be made to facilities meeting eligibility criteria. The amounts of such payments are calculated according to the distribution methodology defined in the proviso.

The enclosed payment and previously disbursed payments represent 100% of your annual appropriation of $325,793 for state fiscal year 2020 - 2021. The formula used to determine the amount of your payment is shown on the enclosed calculation sheet.

I would like to take this opportunity to thank you for your ongoing commitment to Medicaid beneficiaries and indigent persons in Florida. Your contributions to the provision of adequate and appropriate health care to Floridians in need are truly appreciated.

If you have any questions regarding the above, please call Ryan Perry of my staff at (850) 4124132. Sincerely,

Lisa Smith, Bureau Chief, Medicaid Program Finance LS:rp Enclosure:

2727 Mahan Drive Mail Stop # 23 Tallahassee, FL 32308 AHCA.

AHCAFlorida AHCAFlorida AHCA_FL

State of Florida Agency for Health Care Administration

Medicaid Program Finance

Low Income Pool (LIP) Group 1, Tier 1 State Fiscal Year 2020 - 2021 Annual Payment

Medicaid Number : 010161300 Facility Name (current) : AdventHealth North Pinellas

Annual Group 1, Tier 1 distribution to your facility Amount being withheld from distribution in anticipation of funding reductions Total of your facility's annual Group 1 Tier 1 Payments

Total of your Group 1, Tier 1 Payments previously paid in this fiscal year Your Scheduled Group 1 Tier 1 Payment [1]

(A) (B) (A ? B) = (C)

(D) (E)

[1] This payment may be made by check or transferred electronically.

$325,793 $0

$325,793

$0 $325,793

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download