Interoffice Memorandum
DATE: September 1, 2026
TO: Mayor Jerry L. Demings and County Commissioners
THROUGH: Venerria L. Thomas, Director
FROM: Lisa Klier-Graham, Manager
CONTACT: Lisa Klier-Graham
PHONE: (407) 836-3187
DIVISION: Mental Health and Homelessness Division
ACTION REQUESTED:
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Approval and execution of Low Income Pool Letter of Agreement by and between Orange County on behalf of Aspire Health Partners and the State of Florida, Agency for Healthcare Administration in the amount of $4,034,459 through the Intergovernmental Transfer Program. (Mental Health and Homelessness Division)
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PROJECT: N/A
PURPOSE: For the past 26 years, the Intergovernmental Transfer Program (IGT) has been the primary funding mechanism for Orange County’s Primary Care Access Network (PCAN). The IGT program allows the county to draw down additional state and federal dollars for PCAN by participating in the Medicaid Low Income Pool (LIP). LIP funds are intended to assist in providing health services to uninsured, underinsured, and Medicaid patients.
Four years ago, as well as this year, LIP has been expanded to include behavioral health providers. In order for providers to participate in the program, a Letter of Agreement (LOA) between Orange County and Florida’s Agency for Health Care Administration must be executed.
We are requesting approval and execution of a LIP LOA, under which Orange County will remit to the state a total of $4,034,459 which will be matched with federal funds and used to fund behavioral health services at Aspire Health Partners for fiscal year 2026-2027.
BUDGET: N/A