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Consent-Health & Human Services # 15.
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| Board of Supervisors |
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| Subject |
| Authorize the Health & Human Services Agency to pursue an Intergovernmental Transfer for 2014-15 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) (Planell) |
| Recommended Action |
- Authorize Health and Human Services Agency (HHSA) to pursue an Intergovernmental Transfer (IGT) for fiscal year 2014-15 (similar to the process used the previous four fiscal years);
- Authorize the County Administrator to sign a letter of intent and all contracts related to the pursuit of these funds; and
- Direct HHSA to return to the County Administrator (CAO) for approval of an IGT spending plan related to these funds
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| Strategic Plan Goal(s) |
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 four fiscal years, and delegate signing authority to the CAO 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 figure for 2014-15 IGT funds has not been finalized yet but is currently estimated at $2,779,908 in net new funds. 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 three 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 net county cost in the request to pursue IGT funds. The department contribution to be used as match will be borrowed temporarily from local funds within the department along with a corresponding receivable being created reflecting the anticipated refund to the same expense account. The remaining net new funds after the refund has been satisfied will either be included as revenue in the budget request for fiscal year 2016-17 or the department will return at the time of receipt and request a budget amendment based on the approved spending plan. |
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