Consent-Health & Human Services # 30.
Board of Supervisors
- Meeting Date:
- 07/25/2023
- Brief Title
- First Amendment to Agreement No. 21-10279 with CA Dept. of Health Care Services for Intergovernmental Transfer of Public Funds
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Rebecca Mellott, Assistant Director, Health and Human Services Agency, x2692
Supervisorial District Impact:
Countywide
Subject
Approve first amendment to Agreement No. 21-10279 with the California Department of Health Care Services to add funding in the amount of $36,670, for a new contract maximum of $3,101,630, for the period of January 1, 2021 through June 30, 2024 for the transfer of public funds to provide support for the nonfederal share of risk-based payments to managed care health plans for Medi-Cal health care services. (No general fund impact) (Sullivan)
Recommended Action
Approve first amendment to Agreement No. 21-10279 with the California Department of Health Care Services to add funding in the amount of $36,670, for a new contract maximum of $3,101,630, for the period of January 1, 2021 through June 30, 2024 for the transfer of public funds to provide support for the nonfederal share of risk-based payments to managed care health plans for Medi-Cal health care services.
Strategic Plan Goal(s)
 |
Thriving Residents |
Reason for Recommended Action/Background
Each year, the Yolo 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). On or about December 6, 2022, HHSA entered into Agreement No. 21-10279, also known as Yolo County Agreement No. 22-237 with 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.
On an ongoing basis, DHCS reconciles the amount of the nonfederal share of funding the County transfers to DHCS based on actual enrollment figures. The reconciliation has resulted in an increase to the nonfederal share of funding by $36,670. Staff recommends that this amendment be approved so that the terms of our agreement with DHCS can be met.
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.
On an ongoing basis, DHCS reconciles the amount of the nonfederal share of funding the County transfers to DHCS based on actual enrollment figures. The reconciliation has resulted in an increase to the nonfederal share of funding by $36,670. Staff recommends that this amendment be approved so that the terms of our agreement with DHCS can be met.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process/Vendor Performance
Not required for revenue agreements.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 36,670
- Amount budgeted for expenditure:
- $ 36,670
- Additional expenditure authority needed:
- $
- One-time commitment:
- Yes
Source of Funds for this Expenditure
- State
- $36,670
Further explanation as needed:
No general funds are required by this action. The $36,670 that HHSA will transfer to DHCS will be returned to HHSA, along with the federal financial participation (less the 20% administrative fee). The total revenue will be approximately $6 million.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | mrobertson | 07/13/2023 01:21 PM |
| County Counsel | Hope Welton | 07/17/2023 08:57 AM |
- Form Started By:
- Emily Covey
- Started On:
- 07/06/2023 06:00 PM
- Final Approval Date:
- 07/17/2023