To: BOARD OF SUPERVISORS
From: Public Health
Meeting Date: September 23, 2025
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Department Contact: |
Jenine Miller |
Phone: |
707-472-2341 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Retroactive Agreement (Intergovernmental Agreement No. IGT-24-0036) with the California Department of Health Care Services in the Amount of $575,704.80 for Three Years, to Allow Mendocino County Public Health to Participate in the Medi-Cal Managed Care Capitation Rate Increase Intergovernmental Transfer to Secure Additional Federal Revenue to Deliver Expanded Services to the Managed Medi-Cal Population, Effective January 1, 2024, through June 30, 2027
End
Recommended Action/Motion:
recommendation
Approve retroactive Agreement (Intergovernmental Agreement No. IGT-24-0036) with the California Department of Health Care Services in the amount of $575,704.80 for three years, to allow Mendocino County Public Health to participate in the Medi-Cal Managed Care Capitation Rate Increase Intergovernmental Transfer to secure additional federal revenue to deliver expanded services to the Managed Medi-Cal population, effective January 1, 2024, through June 30, 2027; authorize the Health Services Director to sign any future amendments to the Agreement that do not increase the total amount; and authorize Chair to sign the same.
End
Previous Board/Board Committee Actions:
None.
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 the “Rate Range IGT.” These IGT’s allow local government 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 (MCPH) is seeking approval from the Board of Supervisors (BOS) for the IGT transaction, which will be based on actual health plan enrollment figures for the services period of January 1, 2024 through December 31, 2027. Through the proposed retroactive Agreement, MCPH will transfer public health realignments funds totaling $575,704.80 to DHCS, who will use the funds to draw down additional federal dollars. MCPH will receive an amount approximately equal to its own transferred funds plus a net new federal matching funds to support health services for Medi-Cal beneficiaries.
Historically, DHCS issues IGT Agreements for counties to execute retroactively. MCPH received the proposed retroactive Agreement post July 1, 2025, and therefore is requesting BOS approval of the retroactive Agreement.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
Vote Requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Federal |
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current f/y cost: $575,704.80. |
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budget clarification: N/A |
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annual recurring cost: N/A |
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budgeted in current f/y (if no, please describe): Yes |
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revenue agreement: Yes |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Deputy Clerk |
Final Status: Item Status |
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Date: Date Executed |
Executed Item Type: item |
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Number: |
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