To: Board of Supervisors
From: Public Health
Meeting Date: February 7, 2023
|
Department Contact: |
Sara Pierce |
Phone: |
(707) 463-4441 |
|
Department Contact: |
Kirsty Bates |
Phone: |
(707) 472-2791 |
|
Item Type: Regular Agenda |
|
Time Allocated for Item: 5 Minutes |
Agenda Title:
title
Discussion and Possible Action Including Approval of Retroactive Intergovernmental Agreement No. 21-10198, Effective January 1, 2021, through June 30, 2024, with the California Department of Health Care Services Regarding the Transfer of $1,879,532 Public Funds for Actual Health Plan Enrollments During the Service Period of January 1, 2021, through December 31, 2021; and Approval of Appropriation Transfer of Funds Increasing Authority in the 2000 Series in Organizational Code IG for the Full Governmental Transfer Amount and Assessment Fee, and Decreasing Object Code 82-5341 by $784,000 in Order to Increase Object Code 86-2239 by $784,000 for Special Department Expenses
(Sponsor: Public Health)
End
Recommended Action/Motion:
recommendation
Approve retroactive Intergovernmental Agreement No. 21-10198, effective January 1, 2021, through June 30, 2024, with the California Department of Health Care Services regarding the transfer of $1,879,532 public funds for actual health plan enrollments during the service period of January 1, 2021, through December 31, 2021; approve Appropriation Transfer of Funds increasing authority in the 2000 series in organizational code IG for the full governmental transfer amount and assessment fee, and decreasing object code 82-5341 by $784,000 in order to increase object code 86-2239 by $784,000 for special department expenses; and authorize the Public Health Director or designee to sign any future amendments to the Agreement that do not increase the maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
July 22, 2014, Item 4(l), Approval of IGT Agreement No. 12-89588 and IGT Agreement No. 12-89589; June 9, 2015, Item 4(l), Approval of IGT Agreement No. 13- 90550 and IGT Agreement No. 13-90525; June 21, 2016, Item 4(j), Approval of IGT Agreement No. 14-90599 and IGT Agreement No. 14-90629; May 16, 2017, Item 4(z), Approval of IGT Agreement No. 16-93687 and IGT Agreement 16-93718; July 10, 2018, Item 4(m), Approval of IGT Agreement No. 17-94752; July 23, 2019, Item 4(j), Approval of IGT Agreement No. 18-95622; October 6, 2020, Item 4(p), Approval of IGT Agreement No. 19-96408.
Summary of Request:
The Medi-Cal program through the Department of Health Care Services (DHCS) works with local government entities and managed care Medi-Cal Plans to implement a specific type of intergovernmental transfer (or IGT) known as a "Rate Range IGT." These IGTs allow local governments to bring additional federal dollars into the Medi-Cal system to improve health care access and outcomes for Medi-Cal beneficiaries.
Mendocino County Public Health is seeking approval from the Board of Supervisors for the IGT transaction, which will be based on actual health plan enrollment figures for January 1, 2021, through December 31, 2021. Public Health will transfer public health realignment funds totaling $1,879,532 ($1,565,623 estimated contribution, plus $784 in outstanding balance from 19/20, plus a 20 percent assessment fee of $313,125) to DHCS, who will use the funds to draw down additional federal dollars. Public Health will receive an amount approximately equal to its own transferred funds plus net new federal matching funds to support health services for Medi-Cal beneficiaries. These transactions will result in a net increase of approximately $1,565,000 of new federal funds to support local services in Fiscal Year 2023-24.
Historically, DHCS issues IGT Agreements for counties to execute retroactively. Public Health received the proposed Agreement on September 8, 2022, and is therefore requesting the Board approve the contract retroactively.
Part of the Agenda Item includes two signed agreements, one signed by previous Public Health Director Molgaard and one signed by Dr. Miller, who is currently reviewing contracts in the interim of hiring a Public Health Director. The agreement signed by previous Public Health Director Molgaard, on October 26, 2022, was provided to the State as an executed agreement but was not brought in front of the Board of Supervisors nor was it properly routed through the County process. The agreement signed by Dr. Miller, followed County procedure and is being brought forward today for review by the Board of Supervisors.
Alternative Action/Motion:
Return to staff for alternative handling.
Does This Item Support the General Plan? Yes
Strategic Plan Priority Designation: A Thriving Economy
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
|
source of funding: Federal |
budgeted in current f/y: Yes |
|
current f/y cost: $1,879,532 ($1,566,407 plus a 20% fee of $313,125) |
if no, please describe: |
|
annual recurring cost: N/A |
revenue agreement: No |
|
budget clarification: Approval of this IGT Agreement costs the County $1,879,532 initially, but generates a net revenue increase estimated at $1,879,000 in Fiscal Year 2023-24. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
|
CEO Liaison: Darcie Antle, CEO |
|
|
|
CEO Review: Yes |
|
|
CEO Comments:
FOR COB USE ONLY
|
Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status:Approved |
|
Date: February 7, 2023 |
Executed Item Type: Interim Agreement Number: *23-023 |
|
|
|
|
|
|