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Consent-Health & Human Services # 19.
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| Board of Supervisors |
Administration |
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| Subject |
| Approve and authorize the Chair to sign Agreement No. 19-96488 with the California Department of Health Care Services for Rate Range Intergovernmental Transfer of Public Funds for the service period of July 1, 2019 through December 31, 2020 to assist in funding services for the Medi-Cal population. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve and authorize the Chair to sign Agreement No. 19-96488 (“Agreement”) with the California Department of Health Care Services (“DHCS”) for Rate Range Intergovernmental Transfer (“IGT”) of funds for the service period of July 1, 2019 through December 31, 2020 to provide support for the nonfederal share of risk-based payments to managed care health plans for Medi-Cal health care services and for support of the Medi-Cal program and population. |
| Strategic Plan Goal(s) |
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Thriving Residents |
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| Reason for Recommended Action/Background |
Each year, the Yolo County (“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 a rate range intergovernmental transfer (“IGT”) process pursuant to sections 14164 and 14301.4 of the Welfare and Institutions Code through an agreement with the California Department of Health Care Services (“DHCS”). The rate range IGT process requires that the 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”). Partnership then awards these funds to their partnering entities, including Yolo County.
The amount of rate range IGT funding to be transferred to DHCS is $5,822,322 for the period of July 1, 2019 through December 31, 2020. A true-up process will involve a review of the State Medicaid rate range approximately two years after the matching funds are transferred from the County to the State. This true-up process will result in either additional matching funds being due from the County or previously transferred matching funds being refunded back.
HHSA is requesting that the Board of Supervisors approve and authorize the Chair to sign this Agreement to receive rate range IGT funds to assist in funding Medi-Cal services to eligible members of the community. This funding will be handled in accordance with the existing HHSA IGT Funding Administration Policy, including development of an annual spending plan for rate range IGT funds; review of the draft spending plan with the County Administrator; subsequent review by the Budget Board Ad Hoc Subcommittee; and presentation of the final rate range IGT spending plan to the Board of Supervisors during the Recommended Budget and Adopted Budget Hearings. |
| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this Agreement as to form.
Partnership Health Plan |
| Competitive Bid Process |
| Not required for revenue agreements. |
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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: |
| No additional funds are required by this action. The $5,822,322 that HHSA will transfer to DHCS will be returned to HHSA, along with the federal financial participation (less the administrative fee), which is anticipated to be in the range of approximately $2-3 million. This will result in revenue of approximately $7.8 to $8.8 million. |
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