Each year the Yolo County Health and Human Services Agency (HHSA) seeks to secure federal financial support for services delivered to the Medi-Cal population that have not previously received federal matching funds. The mechanism for securing these funds involves an intergovernmental transfer (IGT) process, through an agreement with the California Department of Health Care Services (DHCS). The IGT process requires that Yolo County transfer local funding to DHCS, who uses the funds to draw down additional federal matching funds. DHCS then transfers the original county funds along with the federal matching funds (minus an administrative fee) to the local Medi-Cal Health Plan (in Yolo County this is Partnership Health Plan of California). Partnership then awards these funds to their partnering entities, including Yolo County. 

This agenda item is intended to provide the Board with an opportunity to review a draft HHSA policy and procedure (Attachment A) that will provide guidance on how IGT funding is administered by HHSA. The Agency has been working in partnership with the County Administrator’s Office to develop the draft policy and procedure, and the Board was offered an opportunity to provide comments on an initial draft during the Board Governance Session on July 17, 2018. The attached version has been revised based on Board comments.  

Yolo County Administrator’s Office