Title
Health and Human Services Agency recommending the Board adopt Resolution 131-2014 to:
1) Authorize the Chair to sign Agreement 14-90036 and the accompanying Contractor Certification Clauses CCC-307 with the California Department of Health Care Services in a maximum amount of $1,500,000 in revenue for Medi-Cal Administrative Activities during the period of July 1, 2014 through June 30, 2017;
2) Authorize the Chief Administrative Officer, or designee, to execute any future amendments relating to Agreement 14-90036 that do not affect the total dollar amount or the term, contingent upon approval by County Counsel and Risk Management; and
3) Authorize the Director of the Health and Human Services Agency, or designee, to administer Agreement 14-90036 and execute any further documents relating to said Agreement, including required fiscal and programmatic reports.
FUNDING: Federal Medicaid Funds.
Body
BUDGET SUMMARY: |
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Total Estimated Revenue
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$1,500,000 |
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Budget - Current FY
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$53,000 |
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Total Funding Available
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$1,500,000 |
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Change To Net County Cost
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$0 |
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this Agreement. Agreement 14-90036 allows the County of El Dorado to claim up to $1,500,000 in revenues for eligible activities documented during the period July 1, 2014 through June 30, 2017. Eligible activities are invoiced and revenues are received in arrears and are budgeted annually based on the expected number of participating agencies and projected activity levels. To avoid amendments to their claiming contracts, the State requests that each county set a ceiling that is far greater than expected actual claim amounts. The $1,500,000 maximum revenue amount that is allowed to be claimed over the three-year term is much higher than anticipated, but allows flexibility for participation by additional local agencies and/or greater than expected activity levels.
Background
The California Department of Health Care Services (DHCS) is responsible for administering the California Medi-Cal Assistance Program, of which Medi-Cal Administrative Activities (MAA) is a component. The State is required to enter into cooperative arrangements with local government agencies (LGA's) to ensure the appropriate administration of MAA. The LGA (El Dorado County) may claim federal Medicaid matching funds for assisting the State in the proper and efficient administration of the Medi-Cal Program. The County has been participating in MAA since 1998.
Reason for Recommendation
Several local non-profit agencies, such as New Morning Youth & Family Services and the First 5 El Dorado Children and Families Commission, participate in MAA and may claim revenues for eligible activities. The Health & Human Services Agency acts as the El Dorado County liaison for receipt of all MAA revenues. Revenues are based entirely on reported eligible activities. Participating agencies receive 90% of the State funds received as a result of County invoices to DHCS. Invoiced amounts reflect work done on behalf of El Dorado County. The County retains a 10% Audit Reserve released to the participating agency after four years and a 10% Administrative Fee. DHCS reimburses El Dorado County in arrears based on reported and documented prior-year activities.
Agreement 14-90036 allows for continuation of MAA during the term July 1, 2014 through June 30, 2017.
Clerk of the Board Follow Up Actions
Provide Health and Human Services at Briw Road with the following signed by the Chair:
1) One (1) full agreement and four (4) cover pages;
2) Two (2) certified resolutions;
3) Two (2) Contractor Certification Clauses CCC-307.
Contact
Don Ashton, M.P.A., Director
Concurrences
County Counsel, Risk Management, Human Resources.