Title
Health Services Department recommending the Board approve and authorize the Chair to sign Budget Transfer 2010141 transferring $55,000 from General Fund Contingency to provide funding necessary to cover estimated payments to local hospital facility and medical providers for emergency medical care provided to a ward of the Placerville Juvenile Hall. (4/5 vote required)
FUNDING: General Fund.
Body
BUDGET SUMMARY: |
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Total Estimated Cost |
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$55,000 |
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Funding |
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Budgeted |
$ |
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New Funding |
$ |
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Savings |
$ |
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Other |
$55,000 |
Contingency |
Total Funding Available |
$55,000 |
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Change To Net County Cost |
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$55,000 |
Fiscal Impact/Change to Net County Cost: The General Fund impact is estimated at $55,000 to pay hospital/provider invoices for emergency medical care for a Ward of the Placerville Juvenile Hall. The budget transfer is for the FY 2009-10 budget.
Background: During the fourth quarter of fiscal year (FY) 2009-10, a Ward in the Placerville Juvenile Hall was admitted to the hospital for emergency medical care. This budget transfer reflects the estimated cost to the County based upon preliminary invoices from the hospital.
California Forensic Medical Group (CFMG) is under contract with the County to provide healthcare services in the County jail and juvenile hall facilities. The Agreement provides that in the event of a hospital admission for emergency medical care, CFMG shall pay the first $20,000 and the balance shall be the responsibility of the County.
The County does not have a Catastrophic Insurance Policy covering hospitalization costs for Wards of the juvenile detention facilities. In FY 2008-09, the County obtained a quote for such a Policy; however, in analyzing the annual cost to maintain such a policy, and the fact that the County had never had a Ward hospitalization, it was not considered cost effective to procure and maintain a Policy. For this reason, the costs associated with this first Ward hospitalization (that are over and above the $20K to be paid by CFMG) are the responsibility of the County. The Health Services Department makes every reasonable effort to negotiate discounted rates with all medical providers; the attached budget transfer reflects our current estimate of the amount the County will need to pay for known services.
Reason for Recommendation:
The County is obligated to cover medical costs for Wards. This Budget Transfer Request will allow the Department to begin payment of invoices.
Action to be taken following Board approval:
1. Chair to sign attached Budget Transfer moving funds from Index 159210 to the Juvenile Hall Medical Index 403430.
2. Board Clerk's Office to forward signed Budget Transfer to Auditor-Controller's Office for processing.
3. Department to work with Auditor-Controller's Office to process invoices for payment applicable to FY 2009-10.
Contact: Kathy Lang