TO: Board of Supervisors
FROM: Alexander Alarc?n, Interim Director of Corrections
REPORT BY: Anabel Silva, Staff Services Analyst
SUBJECT: Adopt a Resolution for reimbursement for administrative costs for the Medi-Cal Inmate Program and renew an agreement with California DHCS for Medi-Cal County Inmate program (MCIP)
RECOMMENDATION
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Adopt a Resolution for reimbursement for administrative costs for the Medi-Cal Inmate Program (MCIP); and approve and authorize Agreement No. 170747B with the California Department of Health Care Services for a maximum up to $20,000 per fiscal year for the term July 1, 2026 to June 30, 2029, to participate in the MCIP. (Fiscal Impact: $20,000 Revenue; General Fund; Discretionary)
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BACKGROUND
Federal law prohibits claiming Medicaid funds for healthcare services provided to incarcerated persons residing in correctional facilities. This federal prohibition does not apply when an incarcerated person receives inpatient services at a medical facility located off the grounds of the correctional facility for a stay of more than 24 hours and if the incarcerated person is found to be Medicaid eligible. The Affordable Care Act expanded Medicaid eligibility resulting in a large portion of Napa County's incarcerated population being eligible for Medi-Cal, California's Medicaid program. The Medi-Cal County Inmate Program (MCIP) establishes a process for submitting medical claims for Napa's incarcerated population to the California Department of Health Care Serviced (DHCS).
MCIP is voluntary and the County has the option to participate in this program by entering into an agreement with DHCS. The purpose of the MCIP agreement is to establish a process to submit claims for Medi-Cal enrolled incarcerated people and to set amounts needed to satisfy the County's responsibility to reimburse DHCS for the non-federal share of MCIP services costs incurred by DHCS. Staff will continue to work with Queen of the Valley Medical Center and other lo...
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