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