Title
Public Health Department recommending Budget Transfer transferring $5,425 from General Fund Contingency for reimbursement of costs to California Forensic Medical Group, Marshall Medical Center, and U.C. Davis Medical Center for emergency medical services provided to County inmates. (4/5 vote required)
RECOMMENDED ACTION: Approve.
FUNDING: General Fund.
Body
BUDGET SUMMARY:
Total Estimated Cost $5,425
Funding
Budgeted $
New Funding $
Savings $
Other - GF Contingency $5,425
Total Funding Available $5,425
Change To Net County Cost $0
Fiscal Impact/Change to Net County Cost: The Department is requesting a budget transfer of$5,425 from General Fund Contingency to be appropriated for payment to CFMG, Marshall Medical Center, and UC Davis Medical Center reimbursing them for costs incurred in treating County inmates.
Background: The current agreement between the County and CFMG, which designates CFMG as the administrator of healthcare needs for County inmates, holds CFMG liable for inpatient care up to $15,000 per person per episode. However, there was an incident where the cost for emergency and specialty inpatient care exceeded that amount. That occurrence required services, which were provided by Marshall Medical Center and the UC Davis Medical Center.
On February 13, 2007, the Board of Supervisors approved, and the Public Health Department subsequently obtained, a Catastrophic Insurance policy to mitigate the costs of these occurrences. However, cases which pre-dated the effective date of the policy are excluded from coverage, and this exclusion applies to the case cited in this request.
Reason for Recommendation: The current agreement with CFMG does not account for contingencies such as this, and, as a result, CFMG temporarily shouldered some of the cost of these emergency services. UC Davis and Marshall invoiced the County at a discounted rate. The County is obli...
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