TO: Honorable Mayor and Members of the City Council
THRU: Tom Kisela, City Manager
FROM: Sean deMetropolis, Fire Chief
1. SUBJECT
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Agreements with the California Department of Health Care Services and CalOptima for a one-time Intergovernmental Transfer for Fiscal Year 2024-2025.
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2. SUMMARY
A request for City Council approval to participate in a one-time Intergovernmental Transfer for the twelve-month period ending December 31, 2023, to access additional Federal Medicaid dollars to support unreimbursed care.
3. RECOMMENDED ACTION
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1. Approve agreements with the California Department of Health Care Services and CalOptima in the amount of $694,640 representing $578,867 in unreimbursed Medicare revenue plus a $115,773 administration fee, for a one-time Intergovernmental Transfer, and authorize the Mayor and City Clerk to execute on behalf of the City.
2. Authorize the advancement of $694,640 from the General Fund (100) to the California Department of Health Care Services.
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4. FISCAL IMPACT
The General Fund (100) will advance the Department of Health Care Services $694,640; however, the City will receive a total return of $1,273,507, which includes the initial advance and the City's $578,867 share of unreimbursed Medicaid funds from the Intergovernmental Transfer revenue.
5. STRATEGIC PLAN GOALS
Goal 1: Provide for a Safe Community
b: Provide and maintain infrastructure necessary to ensure the safety of the public.
Goal 2: Be a Fiscally Healthy Community
a: Expend fiscal resources responsibly.
6. DISCUSSION AND BACKGROUND
An Intergovernmental Transfer (IGT) allows California's Medi-Cal managed care plans to partner with local units of government to access additional federal Medicaid dollars to support unreimbursed care and provide health care services. Since the City provides ambulance transport services and has unreimbursed Medicaid expenses, it became eligible to participate in the IGT program in Fiscal Year 2014-2015 ...
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