HomeMy WebLinkAboutMINUTES - 06021992 - 1.89 - l 0 89
TO: BOARD OF SUPERVISORS -
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FROM: Phil Batchelor, County Administrator Costa
DATE: June 2, 1992 ClJU
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SUBJECT: Payment of Consulting Fee to Implement SB 910
SPECIFIC REQUEST(S) OR RECOMMENDATIONS) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS
APPROVE and AUTHORIZE the Chair, Board of Supervisors, to execute an agreement with San
Mateo County (Host County) for payment of an amount not to exceed $5,000, which is Contra
Costa County's share of the consultation fee for amending the State's Medi-Cal plan in order to
implement SB 910; DIRECT the Health Services Department to make the June 30, 1992 payment of
$2,500 and DIRECT the Social Service Department to make the September 30, 1992 payment of
$2,500.
FISCAL IMPACT
$2,500 will be paid by the Department of Health Services and $2,500 will be paid by the
Department of Social Service. Fifty percent of the funds are federally claimable as Title XIX
administration and would be reimbursed by the Host County upon reimbursement from the federal
government.
It is estimated that the implementation of SB 910 will generate an additional $30 to $50 million in
federal Medi-Cal funds per year for California. The State estimates that it will take two years to
get the State Medi-Cal Plan amended if the normal routes are followed. A delay of two years could
mean the loss of up to $100 million in funds for local governments.
BACKGROUND/REASONS FOR RECOMMENDATIONS
Under the provisions of SB 910 (adopted in 1991), new federal financial participation will be
available for a variety of social service and health care case management services prcv'ided to
Medi-Cal recipients after the federal approval of the State's amended Medi-Cal plan. The amended
plan must be filed with the federal Health Care Financing Administration (HCFA) by September
30, 1992 in order to receive reimbursement for eligible case management services retroactive to
July 1, 1992.
1
CONTINUED ON ATTACHMENT: _ YES SIGNATURE:
_RECOMMENDATION OF COUNTY ADMINISTRATOR_RECOMMENDATION OF B -ARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A
_X UNANIMOUS (ABSENT ) TRUE AND CORRECT COPY OF AN
AYES: NOES: ACTION TAKEN AND ENTERED ON THE
ABSENT: ABSTAIN: MINUTES OF THE BOARD OF
SUPERVISORS ON THE DATE SHOWN.
ATTESTED f,2 v2,A?9
PHIVBATCHELOR, CLERK OF
THE BOARD OF SUPERVISORS
AND COUNTY ADMINISTRATOR
cc: CAO
sc:sb910bd.ord BY , DEPUTY
If local jurisdictions pay the cost of the Plan changes, half of these costs are federally claimable
as Title XIX administration costs. The State requires that a "host" county be established to
collect the funds from each local jurisdiction for the consultant's fee, and send verification of
payment to the State in order to qualify for the Title XIX administrative cost reimbursement.
Only the local jurisdictions which pay their share of the cost to amend the State Medi-Cal plan will
be listed in the amendment and allowed to claim the Medi-Cal Targeted Case Management funds
pursuant to SB 910.