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Consent-Health & Human Services # 21.
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| Board of Supervisors |
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| Subject |
| Renew authorization for the Health & Human Services Agency to pursue an Intergovernmental Transfer for 2015-16 and 2016-17 with the State Department of Health Care Services to secure federal matching funds which can be used for additional services to Medi-Cal beneficiaries in Yolo County. (No general fund impact) (Larsen) |
| Recommended Action |
- Authorize Health & Human Services Agency to pursue an Intergovernmental Transfer (IGT) for fiscal year 2015-16 and 2016-17 (similar to the process used previously in multiple fiscal years); and
- Authorize the County Administrator to sign a letter of intent and all contracts related to the pursuit of these funds.
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| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Approval from the Board of Supervisors or their designee is required in order to pursue IGT funds. The timeline required to sign a letter of intent, and then to later respond and sign contract agreements with State Department of Health Care Services (State DHCS) is very short; often less than one week. This action will allow HHSA to pursue these funds again, which have been successfully received the previous five fiscal years, and delegate signing authority to the County Administrator to accommodate the very short turn around times expected.
The Intergovernmental Transfer is a mechanism where counties are able to certify expenditures for services delivered to the Medi-Cal population which had not previously received matching Federal funds for reimbursement. The county is then able to temporarily utilize local funds and transfer them as the required match to State DHCS, who then certifies the availability of such funds and is able to draw down additional federal matching funds. The State charges an administrative fee for their work, along with a local managed care organization tax being paid by Partnership Healthplan. The original local funds, plus the matching federal funds, minus the taxes and administrative fees due to the State are then returned to the department. The figures for 2015-16 and 2016-17 are being done at the same time this year so it will be two award cycles in a short duration of time. IGT funds have not been finalized yet but are currently estimated at up to $2.5 million in new funds for each year requested. The department is currently exploring a number of priorities to be addressed in the spending plan and expects to finalize a proposal within the next four months. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Administrator, County Counsel, Partnership Healthplan |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
| There is no fiscal impact from this reauthorization to participate in the program. If the cost submissions and related agreements are accepted by the State then funds will be borrowed internally from Realignment or General Funds within the department budget to provide the required match. The borrowed funds along with new revenue will then be returned to the department in approximately 90 days. |
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