PROFESSIONAL ANALYSIS
Delray Beach is pursuing a formal Letter of Agreement with the Florida Agency for Health Care Administration under the PEMT (Prepaid Medicaid Enhancement Supplemental) managed care program — a mechanism that allows governmental entities to make intergovernmental transfers (IGTs) and receive a proportional share of enhanced federal Medicaid match funds. Florida's PEMT framework, governed under CMS waiver authority and state Medicaid plan provisions, requires participating local governments to execute an LOA establishing the transfer methodology, compliance obligations, and payment flow. This item is at the initiation/approval stage before the Commission, meaning the LOA is not yet executed. For healthcare administrators and finance officers, securing this agreement positions Delray Beach to recoup significant supplemental Medicaid revenue that would otherwise remain unclaimed. Legal counsel and compliance teams will need to verify alignment with Florida Statute Chapter 409 and applicable CMS requirements before the agreement is finalized. The Signal: Healthcare consultants and Medicaid finance specialists should engage Delray Beach administration now to structure the IGT methodology and maximize the federal match capture before the LOA terms are locked.
