Approve and authorize Chair to sign Agreement Number 22-0035 with the California Department of Health Care Services for the period of January 1, 2022 through June 30, 2025 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)

Approve and authorize Chair to sign Agreement Number 22-0035 with the California Department of Health Care Services for the period of January 1, 2022 through June 30, 2025 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

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 estimated amount of rate range IGT funding to be transferred to DHCS is $3,558,058 for the period of January 1, 2022 through December 31, 2022.  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.

County Counsel has approved this Agreement as to form.

Not required for revenue agreements.