Interoffice Memorandum
DATE: August 22, 2025
TO: Mayor Jerry L. Demings and County Commissioners
THROUGH: Raul Pino, MD, MPH, Department Director
FROM: John Goodrich, Deputy Director
CONTACT: Sandra D. Roe
PHONE: 407-836-7611
DIVISION: Orange County Medical Clinic
ACTION REQUESTED:
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Approval and execution of Low Income Pool Letters of Agreement by and between Orange County BoCC and the State of Florida, Agency for Healthcare Administration on behalf of Community Health Centers, Inc. ($911,560.26) and True Health ($359,491), for an overall total amount of $1,271,051.26 through the Intergovernmental Transfer Program. (Medical Clinic)
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PROJECT: N/A
PURPOSE: For the past 25 years, the Intergovernmental Transfer Program (IGT) has been a funding mechanism for Orange County’s Primary Care Access Network (PCAN). The IGT program allows the county to draw down additional 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 and underinsured patients. Letters of Agreement (LOA) between Orange County and Florida’s Agency for Health Care Administration (AHCA) must be executed for federally qualified health centers receiving LIP funds. The LIP LOAs specify the allocation of funds to the following PCAN partners: Community Health Centers ($911,560.26) and True Health ($359,491).
We are requesting approval and execution of LIP LOAs between Orange County and AHCA, under which Orange County will remit to the state a total of $1,271,051.26, which will be used to help fund the PCAN program for fiscal year 2025-26 and allow us to draw down federal match dollars.
BUDGET: N/A