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Home My WebLink AboutMINUTES - 11152005 - C35 Contra TO: BOARD OF SUPERVISORS FROM HEALTH SERVICES DEPARTMENT Costa D November 15 2005 � ' County DATE:. Na , �� C�7(FS� SUBJECT: Appropriations Adjustment for CCHP Community Plan:: SPECIFIC RE;5UEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION RECOWENDATICIN APPROVE Appropriation Adjustment No. 5024 to transfer appropriations and revenues in the amount of $1,238,645 from the CCHP Community Plan budget unit 0860 (fund 146100) to the CCHP Major Risk Medical "Insurance Board Program budget unit 0861 (fund 146200) to account for financial transactions of the"Aid to Infants and Mothers (AIM) Program and the Healthy Families Program separately from the Major Risk Medical Insurance Program. FISCAL IMPACT; This action has no net fiscal impact. BACKGROUND: On April 5, 2005 the Board of Supervisors approved the creation of a separate health maintenance organization for Contra Costa Health Flan commercial lines of business. This new health maintenance organization allowed for the Health Services Department to participate in the State Department of Health Services "Quality Improvement Fee Program" and generate an estimated $1,500,000 in revenue. On July 26, 2005 the Board approved an appropriation adjustment transferringnon-Medi-Cal revenues and appropriations from the CCHP Medi-Cal Plan to the CCHP Commercial'Plan to reflect the previously approved action. This request will create a separate budget unit, as recommended by the Auditor-Controller to account for financial transactions for the Aid to Infants and Mothers (AIM) Program and the Healthy Families Program separately from the Major Risk Medical Insurance Program. Non-Medi-Cal CCHP business lines will continue to be account for in CCHP Community Plan budget unit 0860 (fund 146100) CONTINUED ON ATTACHMENT: YES SIGN AT RE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OP BOARD COMMITTEE APPROVE OTHER SIGNATURI S ACTION OF'BOA D, N '`�'i'i�?' - /V", \r APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS` I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT" COPY OF AN ACTION'TAKEN AND ENTERED ON MINUTES OF UNANIMOUS{ABSENT ) THE BOARD OF SUPERVISORS ON THE DATE SHOWN, AYES: NOES: ABSENT: ABSTAIN: Contact: Richard Harrison 313-6008 Cc: HSD ATTESTED GAO JOHN SWEETEN,CLERK OF THE BOARD OFSUPERVISORS BY; / � : ...^ DEPUTY -`-IF - AUDITOR CONTROLLER USE ONLY CONTRA COSTA COUNTY Final Aproval Needed By: APPROPRIATION ADJUSTMENT T/C 27 Board Of Supervisors F I County Administrator aaax+rom».wm,mmmaara ACCOUNT CODING FUNDS 146100 & 146200: DEPTS. 0861 &0862 Pa e 1 of 2 EXPENSE ORG'N. SUB-ACCT. EXPENDITURE ACCOUNT DESCRIPTION < DECREASE> INCREASE FUND 146100-REPT.0861: 6802 2803 Publ€c`HIth-Medical Svcs 3,011 ... 6802 2804 Other Specialty Care 588 01 6802 2805 O/P Visits-Specialist Phys 1,940 X40 6802 2809 O/P Mental Health 4951i"" 6802 2810 Other ER Chgs(Lab, Xray) 353 0.f 6802 2811 E/R Physician Fees 2,211 Q !' ' 6802 2812 E/R Facility Fees 1,614 0 6802 2814 IP Radiology 477 6802 2815 IP Surgery 99,110 ti 6802 2816 IP Physician Visits 4,701 L31 6802 2817 IP Fac Chgs(Incl: OB Day) 1,029,686 ,x, , 6802 2818 Obstetrics(Pro Fee) 7,262. 6802 2tr,19 Inpatient Lab 193 08 6802 2821 Med Fees Therapists& Others 1,911 l 6802 2826 Med Fees-Physician-Clip Svc 4,152 6802 2828 OP Lab/Pathology 4,804 .: 6802 2830 IP Anes(Pro Fee) 1,561 6802 2836 Oxygen& Other Med Gas 361 Ob ; 6802 2838 Pharmaceuticals 19,525 13 6802 2840 Radiology Films 2,278 ,OIQ:i.i 6802 2841 Oth Med Care Mti &'Supp 3 385 Approved EXPLANATION OF REQUEST. AUDiTO CONTROLLER To transfer FY 05/06 appropriations for AIM and M'RMIP from Fund 1461t00 to anew fund,146200„ B Date: All non-Medi-Cal business lines,except for AIM&MRMIP will continue to be accounted for in Fund 146100. CO DMINISTRAT,?R Fund 146100/Dent.0861 B Date: f' Expenditure Increasei(Decrease) $ (1,233,645) Revenue Increase/(Decrease) $ (1,233,645) County Subsidy Increase/(Decrease) $ BOARD OF SUPERVISORS Fund 146200/DepA.0862: YES: SUPE S13101A U , Expenditure Increase/(Decrease) $ 1,233,645 PIES; � pGLMR (Decrease) $ 1,233,645 1°' No County Subsidy i John Sweeten,Clerk 0f the Board of HSD Controller 10/5!05 Supervisors and County Administratol Signature Title Date Date:ItIV41 Appropriation AP00 � Adj.Journal NO. AUDITOR CONTROLLER USE ONLY CONTRA COSTA COUNTY Final Aproval Needed By: APPROPRIATION ADJUSTMENT T/C 27 Board Of Supervisors [� County Administrator ACCOUNT CODING FUNDS 146100 &"146200: DEPTS. 0861 & 0862 Page 2 of 2 EXPENSE ORG'N. SUB-ACCT. EXPENDITURE ACCOUNT DESCRIPTION < DECREASE > INCREASE 6802 2842 Other I/P Anc. Svcs 17,030 10. 6802 2846 Office and Admin Supplies 4,815 k3C 6802 2854 Ambulance/MedicalTransport 202 0 6802 2856 OP Surgery-Facility 3,218 6802 2857 OP Surgery-Professional 2,408';tJ9; 6802 2858 CPSP (Perinatal) 3,6531i.A., 6802 2859 CHDP 6802 2861 Medical Purchased Services 12,594 :: 0998 6301 Reserve for Contingencies 1,233,645 .00 0998 6301 Unrealized Revenue 1,233,645 ..-. FUND 146200-DEPT. 0862: 6830- 2817 IP Fac Chgs'(Incl. OB Day) 1,233,645 €10 0999 6301 Reserve for Contingencies 1,233 645 0999 6301 Appropriable New Revenue 1,233 645 :0th $ 3,700,935 .:JT. $ 3,700,935 .: Approved EXPLANATION OF REQUEST AUDITOR-CONTROLLER To transfer FY 05/46 appropriations for AIM and MR'MIP from Fund s1 46100 to anew fund,146200. B : Date: / `o All non-Medi-Cal business lines,except for AIM&MRMIP will continue to be accounted for in Fund 146100. ,C,OUN4 INISTRATOR Fund 1461001Degt.0861: B : /X- 41`-1 Date://_;f-01_ Expenditure Increase/(Decrease) $ (1,233,645) Revenue Increase/'(Decrease) $ (1,233,645) County Subsidy increase/(Decrease) $ - BOARD OF SUPERVISORS Fund 146200/Dept.0862: YES: SIPEOVISMSOIOLk WLKEWA Expenditure Increase/(Decrease) $ 1,233,645 PIEPHO,DESAULNIER, Revenue Increase/('Decrease) $ 1,233,645 �f� No County Subsidy NO: Ifle -e. John Sweeten,Clerk of the Board of ;S_ � ISD Controller 10/5/05 61p1 C $DCS Slid CounV Administrator Signature Title Date B Date: N ' V' — Appropriation AP00 5D Adj.Journal NO. CONTRA COSTA COUNTY ESTIMATED REVENUE ADJUSTMENT T/C '24 ACCOUNT CODING FUNDS 146100 &`146200: DEPTS. 0861 & 0862 Pae 1 Of 1 REVENUE ORG'N. SUB-ACCT. REVENUE ACCOUNT DESCRIPTION INCREASE <DECREASE> FUND 146100-DEPT. 0867: 6802 8410 Subscriber Premiums 1,233,645 00' FUND 146200-DEPT.0862: 6830 8410 Subscriber Premiums 1,233,645 0 $ 1,233,645 .,00 $ 1,233,645 Approved EXPLANATION OF REQUEST AUDICONTROLLER To transfer FY 05/06 revenues for AIM and MRMIP from Fund J/� 146100 to anew fund,146200, TO S : 6l�1 Date: All non-Medi-Cal business lines,except for AIM&MRMIP,will continue to be COUN ADMINISTRATOR accounted for in Fund 146100. Fund 146100/Dept,0861: 6 Date``1`--0 Expenditure Increasel(Decrease) $ (1,233,645) Revenue Increase/(Decrease) $ (1,233,645) County Subsidy Increase/(Decrease) $ - BOARD OF SUPERVISORS Fund 146200/Dept,0862: YES: SUPERVISORS 6101A,LKK , Expenditure Increase/(Decrease) $ 1,233,645 PIED{(),DESAULK8,GLOVER Revenue Increase/(Decrease) $ 1,233,645 No county Subsidy John Sweeten,Clerk of the Board of Su ervieors and Count Administrator I ISD Title iter 1Date 5 � Signature Title Date B ate:, G'�4 C Revenue Adj. RA00 � . Journal NO.