To: Board of Supervisors
From: Health and Human Services Agency
Meeting Date: July 23, 2019
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Department Contact: |
Tammy Moss Chandler |
Phone: |
463-7774 |
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Department Contact: |
Phone: |
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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. 18-95622, Effective July 1, 2018, through December 31, 2021, with the California Department of Health Care Services Regarding the Transfer of Public Funds for Actual Health Plan Enrollments During the Service Period of July 1, 2018, through June 30, 2019
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Recommended Action/Motion:
recommendation
Approve retroactive Intergovernmental Agreement No. 18-95622, effective July 1, 2018, through December 31, 2021, with the California Department of Health Care Services regarding the transfer of public funds for actual health plan enrollments during the service period of July 1, 2018, through June 30, 2019; authorize the Health and Human Services Agency Director to sign any future amendments to the Agreement that do not affect the annual maximum amount; and authorize Chair to sign same.
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Previous Board/Board Committee Actions:
July 22, 2014 Item 4(l); June 9, 2015, Item 4(l); June 21, 2016, Item 4(j); May 16, 2017 Item 4(z) ; July 10, 2018, Item 4(m)
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’s Health and Human Services Agency (HHSA) is seeking approval from the Board of Supervisors for the IGT transaction, which will be based on actual health plan enrollment figures for Fiscal Year 2018-19. HHSA will transfer public health realignment funds (a total of $1,538,480, plus a 20 percent assessment fee of $307,696) to DHCS, who will use the funds to draw down additional federal dollars. HHSA 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 $3,100,000 of new federal funds to support local services in Fiscal Year 2019-20.
Historically, DHCS issues IGT Agreements for counties to execute retroactively. HHSA received the proposed Agreement on May 20, 2019.
Alternative Action/Motion:
Return to staff for alternative handling.
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: $1,846,176 ($1,538,480 plus 20% fee of $307,696) |
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 $1,846,176 initially, but generates a net revenue increase estimated at $3,100,000 in Fiscal Year 2019-20.
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, Deputy CEO |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Lindsey Dunham, Deputy Clerk I |
Final Status:Approved |
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Date: July 24, 2019 |
Executed Item Number: Interim Agreement Number: *19-191 |
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Note to Department Number of Original Agreements Returned to Dept: 9 Original Agreement Delivered to Auditor? No |
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