Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Gina Wilson, Chief Financial Officer
Subject: Amendment to the Agreement with San Mateo Health Commission
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with the San Mateo Health Commission, doing business as Health Plan of San Mateo, for services to Medi-Cal members, for the term January 1, 2017 through September 30, 2019, funded through Intergovernmental Transfers.
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BACKGROUND:
The County of San Mateo has contracted with the San Mateo Health Commission, doing business as Health Plan of San Mateo (HPSM), since January 1994. Your 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. Your Board has also approved prior agreements and amendments related to Intergovernmental Transfers (IGTs), which is a mechanism the County has long used to help pay for services in the Health System. An IGT is a federally-approved mechanism whereby County funds are provided to the State to draw down matching federal dollars for the Medi-Cal program. On April 11, 2017, you approved an agreement with HPSM for FY 2015-2016 and 2016-2017 for the term July 1, 2015 through September 30, 2019. On June 6, 2017 you approved two amendments: the term of the first amendment is July 1, 2015 through September 30, 2019, and totals to $21,056,738 or $10,528,367 in net revenue and the term of the second amendment is from January 1, 2015 through September 30, 2019 and totals to $5,850,265 or $2,925,133 in net revenue.
DISCUSSION:
The original agreement and subsequent amendments allow HPSM to provide supplemental payments to the Health System to support the provision of services to HPSM's Medi-Cal members in FY 2015-16 and FY 2016-17. In exchange, the Health Sy...
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