To: Board of Supervisors
From: Public Health
Meeting Date: November 7, 2023
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Department Contact: |
Jenine Miller, Psy.D. |
Phone: |
707-472-2341 |
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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 Intergovernmental Agreement No. 22-0026, with the California Department of Health Care Services, Regarding the Transfer of $601,741.20 of Public Funds for Actual Health Plan Enrollments During the Service Period of January 1, 2022, through December 31, 2022, Effective January 1, 2022, through June 30, 2025; 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 $601,741.20 in Order to Increase Object Code 86-2239 by $601,741.20 for Special Department Expenses
End
Recommended Action/Motion:
recommendation
Approve retroactive Intergovernmental Agreement No. 22-0026, with the California Department of Health Care Services, regarding the transfer of $601,741.20 of public funds for actual health plan enrollments during the service period of January 1, 2022, through December 31, 2022, effective January 1, 2022, through June 30, 2025; 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 $601,741.20 in order to increase object code 86-2239 by $601,741.20, for special department expenses; authorize the Chief Executive Officer 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:
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 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 (BOS) for the IGT transaction, which will be based on actual health plan enrollment figures for January 1, 2022, through December 31, 2022. Through the proposed retroactive Agreement, Public Health will transfer public health realignment funds totaling $601,741.20 ($501,451 estimated contribution, plus a 20 percent assessment fee of $100,290.20) 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 in Fiscal Year 2024-25.
Historically, DHCS issues IGT Agreements for counties to execute retroactively. Public Health received the proposed retroactive Agreement on October 16, 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: $601,741.20 ($501,451 plus a 20% fee of $100,290.20) |
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 $601,741.20 initially, but generates a net revenue increase estimated at $1.2 million in Fiscal Year 2024-25. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, CEO |
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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: November 7, 2023 |
Executed Item Type: Interim Agreement Number: *23-193 |
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