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Health and Human Services Agency (HHSA), in conjunction with Sheriff’s Department and Probation, recommending the Board:
1) Approve and authorize the Chair to sign Agreement 19-96158 (FENIX 4259) with the California Department of Health Care Services, for participation in the Medi-Cal County Inmate Program, with a maximum obligation of $403,078.43 for the retroactive term beginning July 1, 2019 through June 30, 2020;
2) Adopt and approve the Chair to sign Resolution 182-2019, thereby delegating authority to the Director of the Health and Human Services Agency to execute future agreements with the California Department of Health Care Services to participate in the Medi-Cal County Inmate Program, contingent upon approval by County Counsel and Risk Management; and
3) Authorize the HHSA Director, HHSA Chief Fiscal Officer (CFO), Sheriff, or Sheriff’s Office CFO to administer any subsequent administrative documents, including required fiscal and programmatic reports.
FUNDING: Federal (Medicaid); County share of cost for the non-federal portion is based on usage, not to exceed $403,078.43 in General Fund.
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DISCUSSION / BACKGROUND:
This Agreement with Department of Health Care Services (DHCS) was received August 6, 2019; HHSA staff immediately began processing the agreement for the next available Board Agenda.
DHCS is the single state agency responsible for administering the California Medical Assistance Program, known as Medi-Cal. Federal law prohibits claiming Medicaid funds for healthcare services provided to inmates residing in correctional facilities. However, there is an exception to this federal prohibition when an inmate receives inpatient services at a medical facility located off the grounds of the correctional facility for an expected stay of more than 24 hours, and the inmate has completed the application process and is found to be eligible for the Medi-Cal Inmate Eligibility Program (MCIEP). Historically, counties have absorbed 100 perc...
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