Consent 13.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 04/28/2015
- Title:
- Renewal IGA #YH15-0006-04, AHCCCS Inmate Inpatient Medical Care
- Submitted By:
- Jennifer Steiger, Health & Social Services
- Department:
- Health & Social Services
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
2
NAME
of PRESENTER:
of PRESENTER:
n/a
TITLE
of PRESENTER:
of PRESENTER:
n/a
Mandated Function?:
Not Mandated
Source of Mandate
or Basis for Support?:
or Basis for Support?:
AHCCCS
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Information
Agenda Item Text:
Approve renewal of Intergovernmental Agreement (IGA) #YH15-0006-04, between Cochise County and AHCCCS for detention inmate inpatient medical care, extending the contract for the period of January 1, 2015 through December 31, 2015.
Background:
This contract replaces the former IGA #YH07-0007-04 (as amended) that was originally executed in January 2007. A dozen Arizona Counties maintain such a contract with AHCCCS. In January 2007, Cochise County entered into an IGA with AHCCCS to enable the county to tap AHCCCS funds for jail inmates who are (i) AHCCCS-eligible and (ii) require inpatient medical treatment. There are two changes in this amendment, as follows: 1. Extend contract to 12/31/15. 2. A reduction in the annual administrative fee from $4,414 to $1,400 based on lower projected patient volumes.
Department's Next Steps (if approved):
Your approval is respectfully requested.
Impact of NOT Approving/Alternatives:
Not approving this IGA renewal could materially boost detainee medical expenses paid by the county general fund.
To BOS Staff: Document Disposition/Follow-Up:
BOS Signature required. Two originals sent to BOS for signature on 4/15/15. A fully executed original sent to Clerk of the Board for filing purposes.
Fiscal Impact
- Fiscal Year:
- 2014-2015
- One-time Fixed Costs? ($$$):
- Ongoing Costs? ($$$):
- County Match Required? ($$$):
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- Source of Funding?:
- CHSS
Fiscal Impact & Funding Sources (if known):
This IGA has been an unqualified success at reducing county expenses because it enables the county to tap federal Medicaid funds for approximately two-thirds of eligible inpatient medical bills. Since the inception of the contract, the county has saved a total of $45,000 net of administrative costs. Even though savings to the county are contingent mostly on the volume of eligible inpatient medical visits (relatively infrequent occurrences), the potential large dollar impact of even one such event makes extension of this IGA crucial. The administrative burden of this program is modest and is ably managed by existing finance and jail medical staff.