To: Board of Supervisors
From: Public Health
Meeting Date: July 25, 2023
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Department Contact: |
Sara Pierce |
Phone: |
707-463-4441 |
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Department Contact: |
Kirsty Bates |
Phone: |
707-472-2791 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Retroactive Amendment No. 21-10198-A to Intergovernmental Agreement No. 21-10198, with the California Department of Health Care Services, in the Amount of $20,259.60 for a New Total of $1,899,007.20 of Public Funds for Actual Health Plan Enrollments During the Service Period of January 1, 2021, through December 31, 2021, Effective January 1, 2021, through June 30, 2024; 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 Increasing Object 82-5341 by $20,259.60 for Realignment Services and Increasing 86-2239 by $20,259.60 for Special Department Expenses
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Recommended Action/Motion:
recommendation
Approve retroactive amendment No. 21-10198-A to Intergovernmental Agreement No. 21-10198, with the California Department of Health Care Services, in the amount of $20,259.60 for a new total of $1,899,007.20 of public funds for actual health plan enrollments during the service period of January 1, 2021, through December 31, 2021, effective January 1, 2021, through June 30, 2024 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 increasing object 82-5341 by $20,259.60 for realignment services and increasing 86-2239 by $20,259.60 for special department expenses; 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, February 7, 2023, Item 4(b), Approval of IGT Agreement No. 21-10198.
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 $1,899,007.20 ($1,582,506 estimated contribution, plus a 20 percent assessment fee of $316,501.20) 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.
The proposed retroactive Amendment amount is calculated at $1,582,506 + the 20% Assessment fee of $316,501.20 for a new grand total of $1,899,007.20, a difference of $20,259.60 from the original Agreement No. 21-10198. The retroactive Amendment is not a revenue Agreement, but results in a return to the County of the money paid to DHCS through the agreement plus additional revenue. These funds are paid to the County through an agreement with Partnership HealthPlan of California.
Historically, DHCS issues IGT Agreements for counties to execute retroactively. Public Health received the original Agreement on September 8, 2022, and the proposed retroactive Amendment on May 31, 2023, and is therefore requesting BOS approval of the retroactive Agreement.
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:
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source of funding: Federal |
budgeted in current f/y: Yes |
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current f/y cost: $1,899,007.20 ($1,582,506 + the 20% Assessment fee of $316,501.20) |
if no, please describe: |
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annual recurring cost: N/A |
revenue agreement: No |
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budget clarification: Approval of this IGT Agreement costs the County $1,899,007.20 initially, but generates a net revenue increase estimated at $1,899,007.20 in Fiscal Year 2023-24. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Executive Office |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
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Date: July 25, 2023 |
Executed Item Type: Interim Agreement Number: *23-023-A1 |
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