Agenda

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Regular-Health & Human Services # 33.

Board of Supervisors

Administration

Meeting Date:	02/20/2018
Brief Title: Update on Intergovernmental Transfer Funds
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Rebecca Mellott, Assistant Director, Health and Human Services Agency, x2692
Supervisorial District Impact:

Subject

Receive update on the 2017-18 spending plan for Intergovernmental Transfer funds. (No general fund impact) (Larsen)

Recommended Action

Receive update on the 2017-18 spending plan for Intergovernmental Transfer funds.

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

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, to be spent on proposed projects that align with one of more of the focus areas identified by Partnership, including mental health, substance use, specialty care access, oral health and care coordination.

This agenda item is intended to provide an overview of the fiscal year 2017-18 spending plan for IGT funds received through the fiscal year 2015-16 award process. Staff expects to receive approximately $2,128,000, although exact funding amounts may change. The PowerPoint slides in Attachment A provide an overview of the projects that were included in the fiscal year 2017-18 IGT spending plan. These projects were selected based on proposals received from each of HHSA’s branches, with an emphasis on selecting projects that were aligned with local strategic plans for health and human services. The strategic plans that were considered include the Yolo County Strategic Plan (2016-2019); the HHSA Strategic Plan (FY 17/18); the Community Health Improvement Plan (2015-2020); the Mental Health Services Act Plan (2017-2020); the Maternal, Child and Adolescent Health Plan (2016-2020); the Child Welfare System Improvement Plan (2015-2020); and the Low Income Community Action Plan (2018-2019).

HHSA staff is currently developing a formal policy and procedure regarding the future administration and award of IGT funds. Staff intends to develop a mini grant system that will act as the primary basis of future IGT spending plans. The IGT mini grant system will include the following elements:

Single year awards
Application process with Multidisciplinary Review and Award Panel
Timeline for awards will align with county budget process and will use funds already received
Proposals will be submitted by internal county staff and external partners alike
Program concepts will be required to align with Agency Strategic Plan Initiatives
If any unspent grant funds remain at year end, they revert back to the pool of funds to be awarded in the subsequent year

This new mini grant system is proposed to be implemented during HHSA’s FY 2018-19 spending plan award process.

Collaborations (including Board advisory groups and external partner agencies)

California Department of Health Care Services

Partnership HealthPlan of California

Yolo County Health and Human Services Agency

Fiscal Impact

Fiscal Impact (Expenditure)
No Fiscal Impact
Total cost of recommended action:		$
Amount budgeted for expenditure:		$
Additional expenditure authority needed:		$
On-going commitment (annual cost):	$

Source of Funds for this Expenditure

$2,128,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

The proposed IGT spending plan does not have any direct fiscal impact. The spending plan has been included in the fiscal year 2017-18 budget for HHSA.

Attachments
Att. A. Presentation

Form Review

Inbox	Reviewed By	Date
Rebecca Mellott	Rebecca Mellott	12/28/2017 06:05 PM
Form Started By: tdickinsonb		Started On: 11/27/2017 12:23 PM
Final Approval Date: 01/02/2018