Title
Health Services Department recommending the Board approve and authorize the Chairman to sign two budget transfer requests as follows:
1) Fund Type 11: $1,300,000 from Medi-Cal Administrative Activities ("MAA") Index 401115 (Fund Type 11, fund 109, sub fund 010) to Health Services Department - Public Health Division Administration Index 401111 (Fund Type 11, fund 109, sub fund 001); and
2) Fund Type 12 CSA 3 and CSA 7: $27,000 from CSA 3 Index 408110 (Fund Type 12, fund 153, sub fund 100) and $28,000 from CSA 7 Index 408220 (Fund Type 12, fund 157, sub fund 001) for a combined total of $55,000 transfer to Ambulance Billing Index 408220 (Fund Type 12, fund 157, sub fund 001). (4/5 vote required)
FUNDING: Medi-Cal Administrative Activities (MAA) funds and CSA revenues.
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Fiscal Impact/Change to Net County Cost: No net change.
Background:
1. The Medi-Cal Administrative Activities (MAA) special revenue fund contains revenue received for specific Medi-Cal administrative activities performed within the Public Health Division. The funds may be used in a discretionary manner to fund activities performed within the Public Health Division. The Health Services Department is requesting authorization to transfer $1,300,000 from the MAA special revenue fund (401115) to Public Health Administration (401111) to address cash shortages within Public Health’s sub fund 11-109-001.
2. Year-to-date revenue billed and received for Ambulance Services is more than projected in the current year budget. By contract, vendor is paid for billing services at the rate of 4.75% of ambulance billings received and deposited into the County Treasury. Increased revenue collections by the vendor necessitates an increase in the Intrafund Transfer from indexes 408110 and 408210 to support the expenditures in Professional Services in Ambulance Billing 408220.
Reason for Recommendation:
1. Approval of the Fund Type 11 transfer will allow Public Health to address cash shor...
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