HomeMy WebLinkAboutMINUTES - 09132011 - C.64RECOMMENDATION(S):
Authorize the Health Services Director or designee (Patrick Godley) to execute and submit
the Low Income Health Program (LIHP) Agreement #28-823 (#11-15909-CC-02) and
related documents to the State of California for the purpose of obtaining funding for the
2010/11 fiscal year through the 2013/14 fiscal year.
FISCAL IMPACT:
Approval of the program will result in continuation of $15 million in funding for the
existing LIHP (now known as the Coverage Initiative). Additional funding in the range $15
to $25 million dollars may be achievable (dependent upon patient enrollment). Funding for
this program was included in the 2011/12 Health Services Budget.
BACKGROUND:
The LIHP consists of the Medicaid Coverage Expansion (MCE) and the Health Care
Coverage Initia¬tive (HCCI) programs. These programs provide health care benefits to
eligible persons in accordance with the Welfare and Institutions Code Sections 15909 –
15915 (Chapter 723, Statutes of 2010, As¬sembly Bill 342), and the Special Terms and
Conditions (STCs) of
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 09/13/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Pat Godley 957-5405
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: September 13, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: J Pigg, D Gary
C. 64
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:September 13, 2011
Contra
Costa
County
Subject:Agreement 28-823 from the State Department of Health Care Services to obtain Funding under the Low
Income Health Program (LIHP)
BACKGROUND: (CONT'D)
the federal section 1115(a) Cali¬fornia Bridge to Reform Demonstration (Demonstration).
Federal funding is available under the Demonstration for the health care benefits and
allowable administrative activities costs associated with the program. The cost-claiming and
reimbursement methodologies used to claim the federal funding for the health care benefits
and adminis-trative activities provided under the LIHP must be in compliance with the
Centers for Medicare & Medicaid Services (CMS) rules and policies governing such claims.
The non-federal share of the federal reimbursement under the LIHP must be provided by the
gov¬ernmen¬tal entity authorized to implement the program. Implementation of the LIHP is
subject to the availability of local non-federal funds. There will be no State General Fund
monies allocated to the governmental enti¬ties for the program.
The MCE is not limited to a maximum level or subject to a cap on federal funding or a
specified fund¬ing allocation. The authorized applicant’s MCE federal reimbursement will
only be limited by the amount of local non-federal funds the applicant voluntarily agrees to
provide for MCE expenditures annually.
In contrast, under HCCI, there is a cap on federal funding and the Health Services
Department will receive alloca¬tions within the restricted amounts available for the
program.
On February 8, 2011 the Board authorized the Health Services Department to submit an
application to participate in the LIHP. State and Federal approval of the Department’s
application have been received. The final step in the process is approvals of the contract and
related documents.
CONSEQUENCE OF NEGATIVE ACTION:
Failure to approve this recommendation will likely result in a minimum loss of $40 million
dollars of State and Federal funds.
CHILDREN'S IMPACT STATEMENT:
NOT APPLICABLE