Consent 6.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 05/22/2018
- Title:
- IGA AHCCCS Inmate Hospitalization
- Submitted By:
- Ray Falkenberg, 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:
1
NAME
of PRESENTER:
of PRESENTER:
Ray Falkenberg
TITLE
of PRESENTER:
of PRESENTER:
Deputy Director
Docket Number (If applicable):
Mandated Function?:
Not Mandated
Source of Mandate
or Basis for Support?:
or Basis for Support?:
Information
Agenda Item Text:
Approve Intergovernmental Agreement (IGA) YH16-0018-13 between Cochise County and the Arizona Health Care Cost Containment System (AHCCCS) for detention inmate inpatient medical care, effective May 1, 2018.
Background:
Over the past eleven years through the implementation of agreements with AHCCCS, Cochise County has tapped federal Medicaid dollars to help pay for certain eligible inmate inpatient medical treatments. There are no material financial or operational changes from the existing IGA. This contract will be effective for five years and may be extended by mutual written consent. It may also be terminated by either party with thirty days written notice.
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 over one hundred thousand dollars in inmate medical 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 this IGA very valuable. The administrative burden of this program is modest and ably managed by existing jail medical staff. Detention medical management has confirmed the county’s ability to meet the terms and conditions of the new addendum.
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 over one hundred thousand dollars in inmate medical 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 this IGA very valuable. The administrative burden of this program is modest and ably managed by existing jail medical staff. Detention medical management has confirmed the county’s ability to meet the terms and conditions of the new addendum.
Department's Next Steps (if approved):
Continue existing processes.
Impact of NOT Approving/Alternatives:
Not approving the amendment and allowing the contract to lapse could materially boost detainee medical expenses paid by the county general fund.
To BOS Staff: Document Disposition/Follow-Up:
Return executed IGA to department for final processing.