HomeMy WebLinkAboutMINUTES - 10221985 - X.2 TO: BOARD OF SUPERVISORS
` Contra
FROM: Phil Batchelor, County Administrator
Costa
DATE: October 21, 1985 ON :H County
SUBJECT: Medi-Cal Contracting for Inpatient Per Diem Rates
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION•
Authorize the Health Services Director to appeal directly to the
California Medical Assistance Commission for consideration of an
appropriate inpatient per diem for Medi-Cal patients at the point
that the Health Services Director determines that negotiations
with the Commission' s staff have reached an impasse.
BACKGROUND:
Since our first Medi-Cal inpatient contract was negotiated two or
three years ago, we have been concerned that we were not
receiving a fair and reasonable per diem for our Medi-Cal
inpatient days. The Health Services Director now reports that
negotiations with the State to increase our per diem rate are
stalled. He has advised the Executive Director of the California
Medical Assistance Commission, which is responsible for
negotiating these rates, that if our County reaches an impasse
with the Commission' s staff, we may want to appear before the
full Commission and present our case directly to them. Mr.
Finucane is seeking the Board' s authorization to make such an
appearance at the point that he determines negotiations with the
Commission' s staff have reached an impasse.
Because of the impact that the Medi-Cal inpatient rate has on the
Department' s overall revenue picture, it is essential that we
negotiate as high a per diem as possible. Since a direct appeal
to the full Commission may be the only alternative available to
Mr. Finucane, we urge that the Board authorize such an appearance
if that becomes necessary.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
X RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
X APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON October 22. 1985 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) 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
OF SUPERVISORS ON THE DATE SHOWN.
County Administrator
CC: Health Services Director ATTESTED_
Audi tor-Control ler PHIL BATCHELOR, CLERK OF THE BOARD OF
County Counsel SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY ����i�/� , DEPUTY
1 . MEDT-CAL CONTRACTING INPATIENT PER DIEM RATES
I 2 . STATE MEDICAL ASSISTANCE COMMISSION AUTH TO APPEAL
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