TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Summer Isham, Contracts Supervisor
SUBJECT: Amendment No. 8 to Agreement No. 170886B with Partnership HealthPlan of California related to Intergovernmental Transfer of Public Funds (IGT)
RECOMMENDATION
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Approve and authorize Amendment No. 8 to Agreement No. 170886B with Partnership HealthPlan of California extending the term through December 31, 2029 to provide Medi-Cal managed care capitation rates as a result of intergovernmental transfers from Napa County to the California Department of Health Care Services and to maintain the availability of health care services for Napa County beneficiaries. (No Fiscal Impact; Discretionary).
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BACKGROUND
Partnership HealthPlan of California (PHC) is the county organized health system that provides managed health care services for low-income individuals and families eligible for Medi-Cal in Napa and several surrounding counties. This agreement is for the arrangement for PHC beneficiaries to access health care services provided by Napa County, which then allows Napa County to access PHC's managed care capitation rate increases through the Intergovernmental Transfer (IGT) process.
The Intergovernmental Transfer (IGT) process is a funding mechanism under Section 1903(w)(a) of the Social Security Act, which States and local governments utilize, under certain circumstances, to obtain additional federal matching dollars for Medicaid programs. These funds become available when the State claims federal funds for use in the California Medi-Cal system at a level that is less than the maximum allowable federal funding level. The difference between the maximum allowable federal funding level and the actual amount drawn down by the State is referred to as "headroom." This "headroom" of unused federal reimbursement is available to be drawn down by counties and other public entities through an IGT.
The County's Health ...
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