HomeMy WebLinkAboutMINUTES - 11011988 - 1.46 TO; BOARD OF SUPERVISORS /
FROM: Mark Finucane , Health Services Director Contra
By : Elizabeth A. Spooner , Contracts Administrator
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DATE: October 20, 1988 County
SUBJECT: Approval of Standard Agreement (Amendment ) W
4629-609-34 with the State Department of Health Services
SPECIFIC REQUEST(S) OR RECOMMENDATIONS) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Chairman to execute on behalf of the
County, Standard Agreement (Amendment) 4629-609-34 (State
4683-81918 A-11 ) , effective July 1 , 1988 , with the State
Department of Health Services to amend Standard Agreement
4629-609-21 (effective January 1 , 1984 ) for prepaid health
services for Medi-Cal beneficiaries with a $2 , 190 ,000 increase
in the contract payment limit for FY 1988-89 .
II . FINANCIAL IMPACT :
Approval of this amendment by the State will result in an
increased State funding encumbrance of $29190 ,000 , from
$2 , 051 , 370 to a new total FY 1988-89 payment limit of
$45,241 , 390 . However , the net effect of this increase on Health
Plan revenues is dependent upon enrollment levels .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
On December 20 , 1983 , the Board approved Contract 4629-609-21
with the State Department of Health Services for prepaid health
services for Medi-Cal beneficiaries . Subsequent amendments have
been approved by the Board , the most recent on August 23 , 1988 .
Agreement 4629-609-34 sets the new per capita rates of payment
effective July 1 , 1988 , as required on an annual basis by
Welfare and Institutions Code Section 14301(a) . New capitation
rates are as follows :
Public Assistance
AFDC: $ 79 .53 Disabled/Blind : $ 197 .97
Aged : $ 89 .20 AIDS : $ 1 , 727 .57
Medically Needy--No Share of Cost
AFDC: $ 128 .04 Disabled/Blind : $ 490. 78
Aged : $ 131 . 29 MI Children: $ 129 . 10
AIDS: $5 ,527 .01 MI Pregnant Women: $ 596 .04
CONTINUED ON ATTACHMENT: X _ YES SIGNATURE: ,
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAT OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS 1S 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 Nov 1 1988
Auditor-Controller (Claims) PHIL BATCHELOR, CLERK OF THE BOARD OF
State Department Of Health Services SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY
- ,DEPUTY
BOARD ORDER
STANDARD AGREEMENT (AMENDMENT) #29-609-34
PAGE 2
Gross premium revenue is expected to increase. Any net revenue
increase will depend upon enrollment and service utilization in
the affected Medi-Cal groups .
The Board Chairman should sign nine copies of the contract ,
eight of which should then be returned to the Contracts and
Grants Unit for submission to State Department of Health
Services .