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HomeMy WebLinkAboutMINUTES - 10111983 - 2.1 TO: BOARD OF SUPERVISORS (� � FROM: M. G. Wingett, County AdministrContra tra Costa DATE: September 30, 1983 County SUBJECT: Nursing Home Care--Supplements to Medi-Cal Payment SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATION: Acknowledge receipt of letter dated September 23, 1983 from Chief, Benefits Branch, State Department of Health Services. BACKGROUND: On April 26, 1983, the Board directed the County Administrator to obtain clarification of whether and under what circumstances Medi-Cal payments can be considered "payment in full", particularly in relation to nursing home care. Our office has now received a letter from the State Department of Health Services citing both state and federal law and regulations prohibiting payments, even voluntary ones, beyond the amount set by Medi-Cal and noting that the Department would oppose any efforts to change that law. In view of this position, it does not appear worthwhile to pursue changes in the law . to allow the family of nursing home patients to supplement the Medi-Cal payment in order to avoid efforts on the part of the nursing home to transfer out a patient who was initially admitted as a private patient at a higher fee. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER The Board also referred letter to Advisory Council on Aging through the Area Agency on Aging with the request that it review the alternative which the Department indicated it might support with respect to the tax credits for in-home care . VOTE OF SUPERVISORS X UNANIMOUS (ABSENT JJL):S� ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD 471 OF SUPERVISORS ON THE fDAATIE SHOWN. 1 CC: County Administrator ATTESTED &CZ LL "" //-I /YA' Health Services Director J.R. OLSSON, COUNTY CLERK County Welfare Director AND EX OFFICIO CLERK OF THE BOARD Area Agency on Aging :State Dept. of Health Svcs. ,/� DEPUTY M382/7-83 BY Attn: Doris Soderberg