Consent 13.
Regular Board of Supervisors Meeting
Health & Social Services
- Meeting Date:
- 07/10/2012
- Title:
- Amendment 5 to IGA#: YH07-0007-04, Detention 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 NOT Required
# of ORIGINALS
Submitted for Signature:
Submitted for Signature:
0
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?:
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Information
Agenda Item Text:
Approve Amendment #5 to IGA #YH07-0007-04, Detention Inmate Inpatient Medical Care, between the Arizona Health Care Cost Containment System (AHCCCS) and Cochise Health & Social Services (CHSS), for the period from 1/1/12 to 12/31/12.
Background:
In January 2007, CHSS 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 four changes in this amendment, as follows:
1. Extend contract to 12/31/12.
2. Minor clarification of the definition of “Purpose.”
3. Revise AHCCCS contact personnel.
4. Reduce per claim processing fee from $435 to $242 based on projected patient volumes.
This IGA has been an unqualified success at reducing County expenses since 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 $93,000 net of administrative costs. Even though savings to the county are contingent mostly on the volume of 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.
1. Extend contract to 12/31/12.
2. Minor clarification of the definition of “Purpose.”
3. Revise AHCCCS contact personnel.
4. Reduce per claim processing fee from $435 to $242 based on projected patient volumes.
This IGA has been an unqualified success at reducing County expenses since 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 $93,000 net of administrative costs. Even though savings to the county are contingent mostly on the volume of 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.
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:
A fully executed original will be sent to the Clerk of the Board for filing purposes.
Fiscal Impact
- Fiscal Year:
- 2012-2013
- One-time Fixed Costs? ($$$):
- 0
- Ongoing Costs? ($$$):
- 0
- County Match Required? ($$$):
- 0
- A-87 Overhead Amt? (Co. Cost Allocation $$$):
- 0
- Source of Funding?:
- AHCCCS
Fiscal Impact & Funding Sources (if known):
This IGA has been an unqualified success at reducing County expenses since 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 $93,000 net of administrative costs. Even though savings to the county are contingent mostly on the volume of 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.