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TO BOARD OF SUPERVISORS
FROM; Contra
Mark Finucane , Health Services Director
By : Elizabeth A. Spooner , Contracts AdministratorCosta
DATE: December 13, 1988 County
SUBJECT; Approval of State Department of Health Services Agreement for
Federal Funding of County Medically Indigent Services Costs
under the Immigration Reform and Control Act ( IRCA)
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Chairman to execute on behalf of the
County, Standard Agreement (County 429-652-2) with the State
Department of Health Services for reimbursement of FY 1987-88
County medically indigent services costs with State Legalized
Impact Assistance Grant (SLIAG) funds under the Immigration
Reform and Control Act (IRCA) for the period October 1 , 1987
through June 30 , 1988 .
II . FINANCIAL IMPACT :
The. funds allocated to the County under this agreement are to be
used solely for unreimbursed medically indigent services costs
( including administrative costs ) for Immigration Reform and
Control Act (IRCA) clients . The State Department of Health
Services will reimburse the County for costs of . providing
medical care services to IRCA legalized persons who are eligible
pursuant to Section 17000 of the Welfare and Institutions Code ,
or for County ' costs which may qualify for reimbursement
resulting from providing services to IRCA legalized benefi-
ciaries of the Medi-Cal and County Medical Services Program.
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
On June 14 , 1988 , the Board approved submission of an
Application (County 429-652 ) for SLIAG funds for Legalized
Indigent Medical Assistance (LIMA) services under the
Immigration Reform and Control Act ( IRCA) . On December 6 ,
19889, the Board approved Standard Agreement 429-652-1 for SLIAG
funds for unreimbursed public health services for IRCA clients
for the period from July 1 , 1987 through June 30 , 1989 .
Approval of this Standard Agreement (County #29-652-2 ) will pro-
vide SLIAG funds ( also known as the IRCA Subvention) to reim-
burse the County for delivery of medical services to IRCA
clients for the .period October 1 , 1987 through June 30 , 1988 .
The Board Chairman should sign four copies of the application,
three of which should then be returned to the Contracts and
Grants Unit for submission to the State .
CONTINUED ON ATTACHMENT: _ YES SIGNATURE: &Ozo-r�`
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT ON OF BOARD COM ITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT; ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: Health Services (Contracts) ATTESTED DEC 2 0 1988
Auditor-Controller (Claims) _ ---- -- ---
State Department of Health Services PHIL BATCHELOR, CLERK OF' THE BOARD OF
f SUPERVISORS AND COUNTY ADMINISTRATOR
d
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M382/7- BY DEPUTY