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Health and Human Services Agency (HHSA) recommending the Board discharge the HHSA Director from further accountability to collect the debts identified on the attached Discharge of Accountability Report in the amount of $2,741,037.30 pursuant to Government Code Sections 25257 through 25259, for the period 2010 through 2018. (Est. Time: 5 Min.)
FUNDING: N/A
Health and Human Services Agency is recommending this matter be Continued off Calendar.
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DISCUSSION / BACKGROUND:
On June 26, 2018 (File ID: 18-0924) the Board discharged the Health and Human Services Agency (HHSA) Director from further accountability to collect ambulance debt in the amount of $1,767,437.66 for the period 2010 through 2017 (note: the prior Board item erroneously stated that the time period covered was 2013-2017). The 2019 request for Discharge of Accountability is approximately $974,000 higher than in 2018. Analysis of the data for 2019 covering the time period of 2007-2018 indicates that the number of accounts being discharged due to bankruptcy increased by 71 over prior year; the number of accounts being discharged due to clients being deceased increased by 850 over prior year, and the number of accounts being discharged due to exceeding the statute of limitations increased by 171.
HHSA contracts with separate billing and collection vendors for collection of Ambulance accounts receivable. HHSA contracts with Access Capital Services, Inc., (Access) for the collection of delinquent accounts, and Access has exhausted its collection efforts for these uncollectible accounts. Additionally, the ambulance billing vendor also provided accounts for discharge. These accounts include some legacy accounts from the prior Ambulance Billing vendor in which information related to the client was unavailable, or did not have the required billing information to bill Medi-Cal accounts within the required timeframe. The discharge represents accounts which were deemed to be uncollectible due ...
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