Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Gina Wilson, Chief Financial Officer, San Mateo County Health
Chester Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with the San Mateo Health Commission
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with the San Mateo Health Commission dba Health Plan of San Mateo for services to Medi-Cal members, for the term of January 1, 2022, through December 31, 2022, funded through Intergovernmental Transfers.
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BACKGROUND:
The County of San Mateo has contracted with the San Mateo Health Commission dba Health Plan of San Mateo (HPSM) since January 1994. The Board has approved numerous agreements and amendments for the provision of healthcare and behavioral healthcare services to HPSM members, including those enrolled in the Medi-Cal program. The Board has also approved prior agreements and amendments related to Intergovernmental Transfers (IGTs), a federally approved mechanism whereby County funds are provided to the State to draw down matching federal dollars for the Medi-Cal program. The County has long used IGTs to help pay for health services.
The original agreement for this purpose was executed in 2017 and amended ten times, extending the term through December 21, 2024, covering IGT agreements with the State from FY 2015 through calendar year 2021. The State process for sending drafts and making agreements generally runs behind approximately 2 years due to the reconciliation process of the enrollee information needed for the payment calculations.
DISCUSSION:
Due to the duration and many amendments of the prior agreements, a new agreement has now been developed. This agreement, which starts with calendar year 2022, allows HPSM to provide supplemental payments to County Health through the IGT to support the provision of services to...
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